CHS - Ohio Valley, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

520018 Issued in OH

Legal business name

CHS - OHIO VALLEY, INC

Doing business as

Glencare Center

Practice address

3627 Harvey Ave
Cincinnati, OH 45229-2005

Phone

(513) 961-8881

Fax

(513) 872-8930

NPI assigned

Dec 1, 2005

Last updated

Jun 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Speelman

Title

President

Phone

(330) 204-1040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glencare Center Doing business as

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1679557839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 W ORANGE RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430158922",
            "telephone_number": "330-204-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 HARVEY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292005",
            "telephone_number": "513-961-8881",
            "fax_number": "513-872-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS - OHIO VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "SPEELMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-204-1040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "520018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339311",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Cincinnati, OH
• Providers in Cincinnati, 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 Jun 12, 2014; 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.