NPIMap

Organization Active NPI

Well Path Tenant, LLC

Doing business as Carriage Court of Kenwood

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1407440118
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WELL PATH TENANT, LLC
Doing business as
Carriage Court of Kenwood
Practice address
4650 E Galbraith Rd
Cincinnati, OH 45236-2792
Phone
(513) 480-3529
NPI assigned
Feb 23, 2021
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WELL PATH TENANT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Tara Marzewski
Title
Authorized Agent
Phone
(312) 948-4534

Specialties & licenses 1

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

Addresses

Primary practice location

4650 E Galbraith Rd
Cincinnati, OH 45236-2792

Mailing address

222 N. Riverside Plaza
20TH Floor
Chicago, IL 60606
Phone (312) 837-0710

Other names 1

  • Carriage Court of Kenwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookstone Estates of Robinson19 organizations share this tax ID, including this one
Part of
Brookstone Estates of Robinson

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1407440118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N. RIVERSIDE PLAZA",
            "address_2": "20TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60606",
            "telephone_number": "312-837-0710",
            "fax_number": "312-837-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362792",
            "telephone_number": "513-480-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL PATH TENANT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELL PATH TENANT, LLC",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "MARZEWSKI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "312-948-4534"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Court of Kenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.