Vienna Enterprises Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

613 Issued in OH

Legal business name

VIENNA ENTERPRISES INC

Practice address

125 East National Road
South Vienna, OH 45369-0447

Phone

(937) 568-4342

Fax

(937) 568-4265

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Robert Warner, NHA

Title

Administrator

Phone

(937) 568-4342

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sharonview Nursing Home Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306907324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST NATIONAL ROAD",
            "city": "S. VIENNA",
            "state": "OH",
            "postal_code": "453690447",
            "telephone_number": "937-568-4342",
            "fax_number": "937-568-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST NATIONAL ROAD",
            "city": "SOUTH VIENNA",
            "state": "OH",
            "postal_code": "453690447",
            "telephone_number": "937-568-4342",
            "fax_number": "937-568-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-568-4342",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7986952",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE",
            "identifier": "613",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharonview Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Vienna Group Homes, Inc.
• Hayley Suchland
• Kristen M Thompson, OD
• Tuttle Home Health Care
• Vienna Care Center, Inc.
• John K Waite, LPCC
• Lucinda Gail Yeagle, LPN

• Skilled Nursing Facility in South Vienna, OH
• Providers in South Vienna, 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 Aug 22, 2020; 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.