Organization Active NPI

Deaconess Long Term Care of Ohio, Inc.

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1598758971
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
520025 Issued in OH
Legal business name
DEACONESS LONG TERM CARE OF OHIO, INC.
Doing business as
Scarlet Oaks Retirement Community
Practice address
440 Lafayette Ave
Cincinnati, OH 45220-1022
Phone
(513) 861-0400
Fax
(513) 475-4382
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Kenneth F Raupach
Title
Coo
Phone
(513) 487-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 520025 OH Primary

Addresses

Primary practice location

440 Lafayette Ave
Cincinnati, OH 45220-1022

Mailing address

330 Straight St
Suite 330
Cincinnati, OH 45219-1064
Phone (513) 487-3600

Other identifiers 1

IdentifierTypeStateIssuer
2175926MedicaidOH

Other names 1

  • Scarlet Oaks Retirement Community Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1051141Scarlet Oaks Retirement Community440 Lafayette Avenue, Cincinnati, OH 45220Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1598758971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 STRAIGHT ST",
            "address_2": "SUITE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191064",
            "telephone_number": "513-487-3600",
            "fax_number": "513-487-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 LAFAYETTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201022",
            "telephone_number": "513-861-0400",
            "fax_number": "513-475-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS LONG TERM CARE OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "RAUPACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-487-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "520025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2175926",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scarlet Oaks Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.