Peregrine Health Services of Cincinnati, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1570N Issued in OH

Legal business name

PEREGRINE HEALTH SERVICES OF CINCINNATI, LLC

Practice address

510 Oak St
Cincinnati, OH 45219-2507

Phone

(513) 751-0880

Fax

(513) 751-0882

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Oscar G Aleman

Title

Controller

Phone

(614) 459-2482

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oak Pavilion Nursing Center Doing business as

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1528294782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 OLD HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203644",
            "telephone_number": "614-459-2482",
            "fax_number": "614-459-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OAK ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192507",
            "telephone_number": "513-751-0880",
            "fax_number": "513-751-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE HEALTH SERVICES OF CINCINNATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-459-2482"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1570N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2945933",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Pavilion Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Perdue
• Chloe Dylan Perdue
• Danielle Perdue
• Curtis James Perea
• Cheyenne Peredo
• Lauren Pereira Schmidt
• Angela Klimick Pereira, L.AC.
• John Perentesis, MD
• Sandra M Perez Maass, RA
• Althea Anne Perez, MD

• 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 Jul 31, 2009; 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.