Premier Estates 521, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PREMIER ESTATES 521, LLC

Practice address

7800 Jandaracres Dr
Cincinnati, OH 45248-2032

Phone

(513) 941-0787

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Adrianna Bancroft

Title

Receptionist

Phone

(941) 758-4745

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1467964791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085509",
            "telephone_number": "941-758-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 JANDARACRES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482032",
            "telephone_number": "513-941-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ESTATES 521, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "941-758-4745"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Care of Ohio LLC
• Premier Care of Ohio, LLC
• Premier Care of Ohio, LLC.
• Premier Counseling and Coaching Services, LLC
• Premier Emg LLC
• Premier Estates 522, LLC
• Premier Estates 526, LLC
• Premier Medical Equipment
• Premier Mental Health Professionals
• Premier Transformation Counseling & Consulting Services

• Skilled Nursing Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.