Westside Residential

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WESTSIDE RESIDENTIAL

Practice address

3047 Glenway Ave
6908 Golw Way Drive
Cincinnati, OH 45204-1646

Phone

(513) 297-6575

Fax

(509) 756-8484

NPI assigned

Sep 3, 2007

Organization subpart

Yes

Parent organization

WESTSIDE RESIDENTIAL INCAs reported in NPPES

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

Authorized official

Name

Miss Shawntay Corisha Oliver, STNA

Title

Ceo/Owner

Phone

(513) 240-8757

Specialties & licenses 1

Addresses

Part of

Westside Residential

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1386838316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141233",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452501233",
            "telephone_number": "513-297-6575",
            "fax_number": "509-756-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 GLENWAY AVE",
            "address_2": "6908 GOLW WAY DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452041646",
            "telephone_number": "513-297-6575",
            "fax_number": "509-756-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE RESIDENTIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE RESIDENTIAL INC",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SHAWNTAY",
        "authorized_official_middle_name": "CORISHA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "513-240-8757",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "STNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Counseling Services LTD
• Westside Endoscopy
• Westside Primary Care, LLC
• Westside Regional Medical Center LLC
• Westside Residentail
• Westside Surgical Center LLC
• Westwood Chiropractic Center Inc
• Grant Richard Wethington
• Sylvia Meghan Wethington
• Gregory Charles Wetmore, MD

• Home Health Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.