Organization Active NPI

Dayton Senior Care LLC

  • Assisted Living Facility
  • Dayton, OH
National Provider Identifier
1467055475
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DAYTON SENIOR CARE LLC
Practice address
5790 Denlinger Rd
Dayton, OH 45426-1898
Phone
(937) 837-5581
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Kelli Ann Canan
Title
Secretary
Phone
(423) 584-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5790 Denlinger Rd
Dayton, OH 45426-1898

Mailing address

5790 Denlinger Rd
Dayton, OH 45426-1898
Phone (937) 837-5581

Other identifiers 1

IdentifierTypeStateIssuer
2686820MedicaidOH

Other names 1

  • Friendship Village ALF Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1467055475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261898",
            "telephone_number": "937-837-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261898",
            "telephone_number": "937-837-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "CANAN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-584-6755"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2686820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Village ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.