Greene Oaks

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3392 Issued in OH

Legal business name

GREENE OAKS

Practice address

164 Office Park Dr
Xenia, OH 45385-1647

Phone

(937) 352-2800

Fax

(937) 352-2841

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Jay Eyrich, LNHA

Title

Administrator

Phone

(937) 352-2800

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1285610352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 OFFICE PARK DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851647",
            "telephone_number": "937-352-2800",
            "fax_number": "937-352-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 OFFICE PARK DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851647",
            "telephone_number": "937-352-2800",
            "fax_number": "937-352-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "EYRICH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-352-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "4589",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greene Memorial Hospital Services, Inc
• Greene Memorial Hospital Services, Inc
• Greene Memorial Hospital Services, Inc.
• Greene Memorial Hospital Services, Inc.
• Greene Memorial Hospital, Inc.
• Greene Pak Psychiatric Service Inc
• Greene, Inc.
• Nicole Greene
• Ronald J Greene, DDS
• Danielle Greenside, STNA

• Skilled Nursing Facility in Xenia, OH
• Providers in Xenia, 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 Apr 28, 2008; 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.