Organization Active NPI

Indiana Senior Housing Health Care Properties, Inc.

Doing business as Cedar Village Assisted Living

  • Assisted Living Facility
  • Mason, OH
National Provider Identifier
1396201521
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.
Doing business as
Cedar Village Assisted Living
Practice address
5467 Cedar Village Dr
Mason, OH 45040-8693
Phone
(513) 754-3100
Fax
(513) 336-3174
NPI assigned
Feb 12, 2019
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
James L Whitlatch
Title
Chariman
Phone
(812) 332-9295

Specialties & licenses 1

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

Addresses

Primary practice location

5467 Cedar Village Dr
Mason, OH 45040-8693

Mailing address

5467 Cedar Village Dr
Mason, OH 45040-8693
Phone (513) 754-3100

Other identifiers 1

IdentifierTypeStateIssuer
0320846MedicaidOH

Other names 1

  • Cedar Village Assisted Living Doing business as

National Provider Directory

National Provider Directory
Part of
Indiana Senior Housing Health Care Properties Inc

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1396201521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408693",
            "telephone_number": "513-754-3100",
            "fax_number": "513-336-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408693",
            "telephone_number": "513-754-3100",
            "fax_number": "513-336-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "WHITLATCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHARIMAN",
        "authorized_official_telephone_number": "812-332-9295"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Village Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.