October Enterprises, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OCTOBER ENTERPRISES, INC.

Practice address

501 W Lexington Rd
Eaton, OH 45320-9274

Phone

(937) 456-9535

Fax

(937) 456-9530

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

John Hochwalt

Title

Coo

Phone

(937) 293-7703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suites at Greenbriar Doing business as

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1326641044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209274",
            "telephone_number": "937-456-9535",
            "fax_number": "937-456-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209274",
            "telephone_number": "937-456-9535",
            "fax_number": "937-456-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOBER ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "HOCHWALT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-293-7703"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0860091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suites at Greenbriar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle NG
• Austin Nickell
• Lori Sue Noah
• Hyeon-Young Noh, D.D.S.
• Northside Optical LLC
• October Enterprises, Inc.
• Lori Kay Oda, MS, AT, ATC
• Ohio CVS Stores LLC
• Orthopedic Associates of S W Ohio
• Kelli Rhea Ott, LISW-S

• Assisted Living Facility in Eaton, OH
• Providers in Eaton, 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 Nov 17, 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.