Widows Home of Dayton, Ohio

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2555 Issued in OH

Legal business name

WIDOWS HOME OF DAYTON, OHIO

Doing business as

Widows Home

Practice address

50 S Findlay St
Dayton, OH 45403-2023

Phone

(937) 252-1661

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rob Weisbrodt

Title

VP It Services, United Church Homes

Phone

(740) 382-4885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Widows Home Doing business as

Locations

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1548233281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S FINDLAY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454032023",
            "telephone_number": "937-252-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S FINDLAY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454032023",
            "telephone_number": "937-252-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDOWS HOME OF DAYTON, OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "WEISBRODT",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "VP IT SERVICES, UNITED CHURCH HOMES",
        "authorized_official_telephone_number": "740-382-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Widows Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Eric Wickline, MPT
• Kristie Wickline, MPT
• Barry Michael Wideman, LISW
• Widows Home of Dayton
• Widows Home of Dayton
• Samantha Lynn Wiegand, M.D.
• Catherine Yvonne Wielatz
• Adam Wiercinski, D.O.
• Jessalin Wieser, APRN-CNP
• Alison Marie Wiethe, PA-C

• Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, 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 Dec 5, 2007; 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.