The Carlyle House Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

2634R Issued in OH

Legal business name

THE CARLYLE HOUSE INC

Practice address

3490 Far Hills Ave
Kettering, OH 45429-2500

Phone

(937) 293-3490

Fax

(937) 293-3491

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Denise Marie Nelson

Title

Vice President

Phone

(937) 434-8820

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1689012528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 W RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454591431",
            "telephone_number": "937-434-8820",
            "fax_number": "937-434-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292500",
            "telephone_number": "937-293-3490",
            "fax_number": "937-293-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARLYLE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "937-434-8820",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OH",
            "license": "2634R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF HEALTH",
            "identifier": "2634R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert W. Templeton, M.D.
• Raymond Patrick Teneyck, M.D.
• Marni A Teramana, DO
• Elizabeth Terry, CNA
• Alison Renee Tharp, PHARMACIST
• The Laurels of Kettering, LLC
• The Little Clinic of Ohio LLC
• The Oaks of West Kettering
• Sampath Kumar Thiruveedi, M.D.
• Thoma & Sutton Eyecare Professionals, LLC

• Assisted Living Facility (Mental Illness) in Kettering, OH
• Providers in Kettering, OH by specialty
• Assisted Living Facility (Mental Illness) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.