Pristine Senior Living of Dayton-Centerville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRISTINE SENIOR LIVING OF DAYTON-CENTERVILLE LLC

Practice address

7300 McEwen Rd
Dayton, OH 45459-3903

Phone

(937) 433-3441

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Christopher T Cook

Title

Chief Financial Officer

Phone

(317) 408-8491

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1386029155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046356",
            "telephone_number": "317-408-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MCEWEN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593903",
            "telephone_number": "937-433-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE SENIOR LIVING OF DAYTON-CENTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-408-8491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Prince, MSW, LSW
• Karey Sue Ann Prince
• Stephani Prince
• Vickie K Prindle, R.N.
• Emily Prinsen
• Mercedes Elizabeth Louise Pritchard
• Elaine M Pritchett, LPCC
• Tina Marie Pritchett
• Taylor Makenzie Pritt
• Profero Team LLC

• 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 Jul 22, 2015; 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.