CT Ohio Dayton-Centerville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CT OHIO DAYTON-CENTERVILLE LLC

Doing business as

Centerville Place Assisted Living

Practice address

7415 Liberty Woods LN
Dayton, OH 45459-3946

Phone

(516) 865-1500

NPI assigned

Feb 8, 2024

Last updated

Apr 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Moerman

Title

Manager

Phone

(516) 865-1500

Specialties & licenses 1

Addresses

Other names 1

• Centerville Place Assisted Living Doing business as

Tax ID family

Centerville Health and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• CT Ohio Dayton-Centerville LLC

  dba Centerville Health and Rehab

  • Skilled Nursing Facility
  • Dayton, OH
  • NPI 1396232146
  NPD tax ID

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1447014535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 LIBERTY WOODS LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593946",
            "telephone_number": "516-865-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 LIBERTY WOODS LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593946",
            "telephone_number": "516-865-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT OHIO DAYTON-CENTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOERMAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-865-1500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerville Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centerville Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Natasha Cruz, MD
• Whitney J Crye, D.O.
• CS Pacs 3 Midwest LLC
• CSW Behavioral Health LLC
• CT Ohio Dayton-Centerville LLC (Centerville Health and Rehab)
• Scarlett J Ctvrtnicek, PA-C
• Carolina Milagros Cuba-Gutierrez, MD
• Ariana Grace Cucci, DO
• Samantha A Cuevas
• Cuf Foundation

• Assisted Living Facility in Dayton, OH
• Providers in Dayton, 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 Apr 15, 2025; 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.