Skilled Nursing II

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

892295 Issued in OH

Legal business name

SKILLED NURSING II

Practice address

1111 Northview Drive
Suite B
Hillsboro, OH 45133

Phone

(937) 393-0039

Fax

(937) 393-0880

NPI assigned

Oct 13, 2006

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin D Avery

Title

President

Phone

(740) 355-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1255421632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NORTHVIEW DRIVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-0039",
            "fax_number": "937-393-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NORTHVIEW DRIVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-0039",
            "fax_number": "937-393-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED NURSING II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-355-2273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "892295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramesh K Shivani, MD
• Kimberly S Shrout, RN
• Krystal Vern Simmons
• Poonam Singh, MD
• Shivreet Singh, M.D
• Hope Gabrienna Skipworth, CDCA
• Todd D Slater, MD
• Kristi Jo Slavens, CDCA
• Joel P Solomon, CRNA
• South Central Ohio Obstetrics and Gynecology, Inc

• Home Health Agency in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.