Westside Residentail

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WESTSIDE RESIDENTAIL

Practice address

3047 Glenway Ave Apt 3
Cincinnati, OH 45204-1646

Phone

(513) 766-8484

Fax

(513) 681-5832

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Miss Shawntay Corisha Oliver, CEO,EMT,STNA,CNA

Title

Ceo President

Phone

(513) 766-8484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679604862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 GOLFWAY DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452395631",
            "telephone_number": "513-766-8484",
            "fax_number": "513-681-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 GLENWAY AVE APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452041646",
            "telephone_number": "513-766-8484",
            "fax_number": "513-681-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE RESIDENTAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SHAWNTAY",
        "authorized_official_middle_name": "CORISHA",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "513-766-8484",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CEO,EMT,STNA,CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Cardiology Inc.
• Westside Counseling Services LTD
• Westside Endoscopy
• Westside Primary Care, LLC
• Westside Regional Medical Center LLC
• Westside Residential
• Westside Surgical Center LLC
• Westwood Chiropractic Center Inc
• Grant Richard Wethington
• Sylvia Meghan Wethington

• Home Health Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.