Four Seasons of Dayton, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOUR SEASONS OF DAYTON, LLC

Doing business as

Four Seasons of Dayton Nursing and Rehabilitation Center

Practice address

4911 Covenant House Dr
Dayton, OH 45426-2007

Phone

(937) 837-2651

Fax

(937) 837-5831

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Alan Ross

Title

President

Phone

(937) 584-2497

Specialties & licenses 1

Addresses

Other names 1

• Four Seasons of Dayton Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1639472558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 COVENANT HOUSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454262007",
            "telephone_number": "937-837-2651",
            "fax_number": "937-837-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 COVENANT HOUSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454262007",
            "telephone_number": "937-837-2651",
            "fax_number": "937-837-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS OF DAYTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-584-2497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons of Dayton Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Foster
• Cassandra Fouch
• Lakesha Fountain
• Lutacia L Fountaine
• Four Corners Neuropsychology, LLC
• John Foureman
• Peri Fouss, MD
• Katherine Fowler, CNP
• Olivia Fowler
• Chris Fox-Good, MD

• 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 15, 2010; 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.