Organization Active NPI

Montgomery Long Term Care, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1295719763
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5676 Issued in OH
Legal business name
MONTGOMERY LONG TERM CARE, LLC
Practice address
7777 Cooper Rd
Cincinnati, OH 45242-7703
Phone
(513) 793-5092
Fax
(513) 984-2930
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Michael Scharfenberger, LNHA
Title
Member
Phone
(513) 793-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5676 OH Primary

Addresses

Primary practice location

7777 Cooper Rd
Cincinnati, OH 45242-7703

Mailing address

7265 Kenwood Rd
Suite 300
Cincinnati, OH 45236-4400
Phone (513) 793-8804

Other identifiers 1

IdentifierTypeStateIssuer
2111226MedicaidOH

Other names 1

  • Montgomery Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1295719763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 KENWOOD RD",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364400",
            "telephone_number": "513-793-8804",
            "fax_number": "513-793-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 COOPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427703",
            "telephone_number": "513-793-5092",
            "fax_number": "513-984-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY LONG TERM CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHARFENBERGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-793-8804",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery 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 Nov 13, 2007; 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.