Organization Active NPI

Gahana Opco LLC

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1295572998
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GAHANA OPCO LLC
Practice address
7010 Rowan Hill Dr
Cincinnati, OH 45227-3380
Phone
(513) 271-7010
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mattisyahu Nussbaum
Title
Ceo
Phone
(931) 777-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7010 Rowan Hill Dr
Cincinnati, OH 45227-3380

Mailing address

5140 Rte 9
Howell, NJ 07731-3357
Phone (248) 875-4489

Other names 1

  • The Mariemont Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0700119Mariemont Care Center, the7010 Rowan Hill Drive, Cincinnati, OH 45227Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Gahana Opco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1295572998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 RTE 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313357",
            "telephone_number": "248-875-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 ROWAN HILL DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273380",
            "telephone_number": "513-271-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHANA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MATTISYAHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-777-0010"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mariemont Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.