Active NPI
Marietta Continuing Care Community, Inc
- Assisted Living Facility
- Marietta, OH
National Provider Identifier
1649587668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2224R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2182219 | Pines at Glenwood, the | Certificate of waiver | Apr 16, 2028 |
National Provider Directory
National Provider DirectoryNPI 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
- Marietta Anesthesia Care, Inc.
- Marietta Area Health Inc
- Marietta Care, LLC
- Marietta City School District
- Marietta City School District
- Marietta Gynecologic Associates Inc
- Marietta Gynecologic Associates, Inc.
- Marietta Health and Wellness Center LLC
- Marietta Health Care Physicians, Inc
- Marietta Health Care Physicians, Inc.
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.