Organization Active NPI

Garden Park CC, Inc.

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1477549400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
420024 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5069810001OtherOHDME
2517253MedicaidOH

Other names 1

  • Garden Park Health Care Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.