Organization Active NPI

Traditions at Xenia

Doing business as National Church Residences Legacy Village

  • Assisted Living Facility
  • Xenia, OH
National Provider Identifier
1578868386
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TRADITIONS AT XENIA
Doing business as
National Church Residences Legacy Village
Practice address
695 Wycliffe Dr
Xenia, OH 45385
Phone
(937) 372-0359
Fax
(937) 372-0037
NPI assigned
Jan 26, 2011
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Brianna Mettler
Title
President
Phone
(614) 451-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

695 Wycliffe Dr
Xenia, OH 45385

Mailing address

5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone (614) 251-4151

Other identifiers 1

IdentifierTypeStateIssuer
3125004MedicaidOH

Other names 1

  • National Church Residences Legacy Village Doing business as

National Provider Directory

National Provider Directory

Locations

695 Wycliffe Dr
Xenia, OH 45385
Phone (866) 901-5018

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1578868386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 RINGS RD STE 300",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177537",
            "telephone_number": "614-251-4151",
            "fax_number": "614-442-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 WYCLIFFE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "45385",
            "telephone_number": "937-372-0359",
            "fax_number": "937-372-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS AT XENIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-451-2151"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3125004",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Church Residences Legacy Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Church Residences Legacy Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.