BCC Washington Township Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2260R Issued in OH

Legal business name

BCC WASHINGTON TOWNSHIP OPERATIONS, LLC

Doing business as

Elmcroft of Washington Township

Practice address

8630 Washington Church Rd
Miamisburg, OH 45342-3795

Phone

(937) 291-3211

Fax

(937) 291-1608

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Patrick Mulloy II

Title

President

Phone

(502) 753-6000

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Washington Township Doing business as

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1326204140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000",
            "fax_number": "502-753-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 WASHINGTON CHURCH RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423795",
            "telephone_number": "937-291-3211",
            "fax_number": "937-291-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC WASHINGTON TOWNSHIP OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MULLOY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-753-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2260R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Washington Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.