Harborside of Dayton Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5318 Issued in OH

Legal business name

HARBORSIDE OF DAYTON LIMITED PARTNERSHIP

Doing business as

Forest View Center

Practice address

323 Forest Ave
Dayton, OH 45405-4599

Phone

(937) 224-0793

Fax

(937) 224-0799

NPI assigned

Aug 22, 2006

Last updated

Jun 12, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Thomas Divittorio

Title

President Director

Phone

(505) 821-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forest View Center Doing business as

Part of

Northview Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
  • NPI 1982651758

  Member Of

  NPD member

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1366558157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 FOREST AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054599",
            "telephone_number": "937-224-0793",
            "fax_number": "937-224-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE OF DAYTON LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE LLC",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "DIVITTORIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest View Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imad Ul Haq
• Nurul Haque, M.D
• Monika Harasim-Pieper
• Ryan Haratian
• Alexis M Harbison, LPCC
• Aliya Harbut
• Joanna Harbut
• Sarah Nicole Harbut, COTA/L
• Lynette B Harden, QMHS MA
• Elizabeth Hardin, OD

• Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, 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 Jun 12, 2014; 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.