Organization Active NPI

Marietta Continuing Care Community, Inc

  • Assisted Living Facility
  • Marietta, OH
National Provider Identifier
1649587668
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2224R Issued in OH
Legal business name
MARIETTA CONTINUING CARE COMMUNITY, INC
Practice address
200 Timberline Dr
Marietta, OH 45750-9238
Phone
(740) 376-0535
Fax
(740) 376-0153
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Mr. Kenneth E Strong Jr.
Title
Executive Ditector
Phone
(740) 376-0535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2224R OH Primary

Addresses

Primary practice location

200 Timberline Dr
Marietta, OH 45750-9238

Mailing address

200 Timberline Dr
Marietta, OH 45750-9238
Phone (740) 376-0535

Other names 1

  • The Pines At Glenwood 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
36D2182219Pines at Glenwood, the200 Timberline Drive, Marietta, OH 45750Certificate of waiverApr 16, 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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1649587668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TIMBERLINE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509238",
            "telephone_number": "740-376-0535",
            "fax_number": "740-376-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TIMBERLINE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509238",
            "telephone_number": "740-376-0535",
            "fax_number": "740-376-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA CONTINUING CARE COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DITECTOR",
        "authorized_official_telephone_number": "740-376-0535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2224R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines At Glenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.