WC-Marysville Ops, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2054R Issued in OH

Legal business name

WC-MARYSVILLE OPS, LLC

Doing business as

Carriage Court of Marysville

Practice address

717 S Walnut St
Marysville, OH 43040-1639

Phone

(937) 642-2202

Fax

(937) 642-2202

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Dumaine

Title

Executive Director

Phone

(937) 642-2202

Specialties & licenses 1

Addresses

Other names 1

• Carriage Court of Marysville Doing business as

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1538567995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S WALNUT ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401639",
            "telephone_number": "937-642-2202",
            "fax_number": "937-642-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S WALNUT ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401639",
            "telephone_number": "937-642-2202",
            "fax_number": "937-642-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WC-MARYSVILLE OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "DUMAINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-642-2202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2054R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Court of Marysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Watkins
• Morgan Maria Watkins
• Margaret Ann Watson, PHARMD
• Jacob J Watts
• Kamden Edwin Waugaman
• Lindsey Nicole Webb, LPN
• Ashley G Weiss
• Holly Weiss, M.A., CCC-SLP
• Wellspring Family Chiropractic LLC
• Lindsay West, NP

• Assisted Living Facility in Marysville, OH
• Providers in Marysville, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.