Organization Active NPI

Scarlet Oaks Nursing and Rehabilitation Center LLC

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1356805790
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SCARLET OAKS NURSING AND REHABILITATION CENTER LLC
Practice address
440 Lafayette Ave
Cincinnati, OH 45220-1022
Phone
(513) 861-0400
NPI assigned
Jan 30, 2019
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SCARLET OAKS NURSING AND REHABILITATION CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Jacob Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

440 Lafayette Ave
Cincinnati, OH 45220-1022

Mailing address

15 America Ave
Lakewood, NJ 08701-4584
Phone (908) 783-1675

Other identifiers 1

IdentifierTypeStateIssuer
0167605MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Scarlet Oaks Nursing and Rehabilitation Center LLC3 organizations share this tax ID, including this one
Part of
Scarlet Oaks Nursing and Rehabilitation Center LLC

Other organizations with this tax ID 2

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

Locations

15 America Ave
Lakewood, NJ 08701
Phone (347) 522-9127

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1356805790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014584",
            "telephone_number": "908-783-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 LAFAYETTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201022",
            "telephone_number": "513-861-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARLET OAKS NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCARLET OAKS NURSING AND REHABILITATION CENTER LLC",
        "enumeration_date": "2019-01-30",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167605",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2023; 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.