Charles Roy Cain II, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

148033 Issued in OH

Practice address

749 State Route 28 Ste C
Milford, OH 45150-5046

Phone

(513) 214-2094

Fax

(513) 294-2095

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baymark Health Services of Ohio, Inc.

  dba MedMark Treatment Centers Milford

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Milford, OH
  • NPI 1306403118
  NPD (past)
• Baymark Health Services of Ohio, Inc.

  dba MedMark Treatment Centers Lebanon

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, OH
  • NPI 1740847557
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1376307082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 STATE ROUTE 28 STE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505046",
            "telephone_number": "513-214-2094",
            "fax_number": "513-294-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 STATE ROUTE 28 STE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505046",
            "telephone_number": "513-214-2094",
            "fax_number": "513-294-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "CHARLES",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "148033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Burkey, COTA/L
• Angela Diane Buschur, RN BSN
• Alexandra Morgan Butz, MD
• Carla Sue Cacini, DPT
• Brent Allen Cadwallader, COTA
• Rebecca Jean Callahan, O.D., M.B.A.
• Erin Maria Campbell, LPN
• Ginger Campbell, PTA
• Kara Elizabeth Campbell
• Robert Campbell

• Licensed Practical Nurse in Milford, OH
• Providers in Milford, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.