Active NPI
Garden Park CC, Inc.
- Skilled Nursing Facility
- Cincinnati, OH
National Provider Identifier
1477549400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 420024
- Legal business name
- GARDEN PARK CC, INC.
- Practice address
- 3536 Washington Ave
Cincinnati, OH 45229-2618 - Phone
- (513) 751-4900
- Fax
- (513) 569-4387
- NPI assigned
- Sep 26, 2005
- 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
- Karne Jamison
- Title
- President
- Phone
- (513) 751-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 420024 | OH | Primary |
Addresses
Primary practice location
3536 Washington Ave
Cincinnati, OH 45229-2618
Mailing address
3536 Washington Ave
Cincinnati, OH 45229-2618
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5069810001 | Other | OH | DME |
| 2517253 | Medicaid | OH |
Other names 1
- Garden Park Health Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477549400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 WASHINGTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 WASHINGTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292618",
"telephone_number": "513-751-4900",
"fax_number": "513-569-4387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN PARK CC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JAMISON",
"authorized_official_first_name": "KARNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-751-4900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "420024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "5069810001",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2517253",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Garden Park Health Care",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 22, 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.