Gables at Green Pastures

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GABLES AT GREEN PASTURES

Practice address

390 Gables Dr
Marysville, OH 43040-8358

Phone

(937) 642-3893

Fax

(937) 578-2480

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Laurie A Whittington, MHA NHA

Title

Administrator

Phone

(937) 578-4072

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Union County

  • Community Health Clinic/Center
  • Marysville, OH
  • NPI 1104875541

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter D Hucek, M.D.

  • Family Medicine Physician
  • Granville, OH
  • NPI 1548274871
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1275520124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 GABLES DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408358",
            "telephone_number": "937-642-3893",
            "fax_number": "937-578-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 GABLES DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408358",
            "telephone_number": "937-642-3893",
            "fax_number": "937-578-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES AT GREEN PASTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-578-4072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele M Frost
• Robert Frueh
• Gary Fuller
• Valerie Fuller
• Amanda Ann Fulwider, MA, AT, ATC
• Mark Gallagher
• Dustin J Gardner, O.D.
• Kayla Marie Gardner, PA-C
• Katherine G Garretson, LSW
• Virginia Lynne Gates

• Skilled Nursing Facility in Marysville, OH
• Providers in Marysville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.