Garden Manor Extended Care Center, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0987R Issued in OH

Legal business name

GARDEN MANOR EXTENDED CARE CENTER, INC.

Practice address

6898 Hamilton Middletown Road
Middletown, OH 45044-7859

Phone

(513) 424-5321

Fax

(513) 420-5367

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Hammon

Title

V.P. Marketing

Phone

(513) 699-4651

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1396736716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6898 HAMILTON MIDDLETOWN RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450447859",
            "telephone_number": "513-424-5321",
            "fax_number": "513-420-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6898 HAMILTON MIDDLETOWN ROAD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450447859",
            "telephone_number": "513-424-5321",
            "fax_number": "513-420-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN MANOR EXTENDED CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "HAMMON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "V.P. MARKETING",
        "authorized_official_telephone_number": "513-699-4651",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "0987R",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000002966",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Gaines
• Mary Elizabeth Gaines, R.N.
• Douglas L Gaker, MD
• Nickolas J Garcia
• Rachele Garcia, LPN
• Garden Manor Terrace, Inc.
• Robert David Garland, DDS
• Neshai Garrett
• Colin J Gastright
• Jennifer Gebhart, RN

• Assisted Living Facility in Middletown, OH
• Providers in Middletown, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.