Active NPI
Hospitality Healthcare LLC
- Skilled Nursing Facility
- Xenia, OH
National Provider Identifier
1467950444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HOSPITALITY HEALTHCARE LLC
- Practice address
- 1301 N Monroe Dr
Xenia, OH 45385-1623 - Phone
- (937) 825-6622
- NPI assigned
- Jan 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Bergsten
- Title
- Managing Member
- Phone
- (937) 825-6622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1301 N Monroe Dr
Xenia, OH 45385-1623
Mailing address
544 Enterprise Dr
Lewis Center, OH 43035-9704
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0348875 | Hospitality Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Oakwood, OH
- NPI 1952384505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516838400000",
"number": "1467950444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 ENTERPRISE DR",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N MONROE DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453851623",
"telephone_number": "937-825-6622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITALITY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A",
"authorized_official_last_name": "BERGSTEN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "937-825-6622"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.