October Enterprises, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4449 Issued in OH

Legal business name

OCTOBER ENTERPRISES, INC.

Practice address

501 W Lexington Rd
Eaton, OH 45320-9274

Phone

(937) 456-9535

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Hochwalt

Title

Vice President

Phone

(937) 293-7703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenbriar Senior Living Campus Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Allen Ferguson Jr., D.O.

  • Family Medicine Physician
  • Eaton, OH
  • NPI 1659312205
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1669569356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209274",
            "telephone_number": "937-293-7703",
            "fax_number": "937-299-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209274",
            "telephone_number": "937-456-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOBER ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "HOCHWALT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "937-293-7703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0860091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbriar Senior Living Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Nickell
• Lori Sue Noah
• Hyeon-Young Noh, D.D.S.
• Northside Optical LLC
• October Enterprises, Inc.
• Lori Kay Oda, MS, AT, ATC
• Ohio CVS Stores LLC
• Orthopedic Associates of S W Ohio
• Kelli Rhea Ott, LISW-S
• Cadence M Pacheco

• Skilled Nursing Facility in Eaton, OH
• Providers in Eaton, 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 Nov 7, 2016; 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.