Organization Active NPI

Clifton Care Center, Inc.

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1245643857
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1567N Issued in OH
Legal business name
CLIFTON CARE CENTER, INC.
Practice address
625 Probasco St
Cincinnati, OH 45220-2710
Phone
(513) 281-2464
Fax
(513) 281-2559
NPI assigned
Jun 11, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Monica Humbert
Title
Contract
Phone
(513) 530-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1567N OH Primary

Addresses

Primary practice location

625 Probasco St
Cincinnati, OH 45220-2710

Mailing address

4700 Ashwood Drive
Suite 200
Cincinnati, OH 45241
Phone (513) 489-7100

Other identifiers 1

IdentifierTypeStateIssuer
0234428MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1245643857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DRIVE",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45241",
            "telephone_number": "513-489-7100",
            "fax_number": "513-489-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PROBASCO ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202710",
            "telephone_number": "513-281-2464",
            "fax_number": "513-281-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "HUMBERT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CONTRACT",
        "authorized_official_telephone_number": "513-530-1622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1567N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.