Tri-County Extended Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2839 Issued in OH

Legal business name

TRI-COUNTY EXTENDED CARE CENTER

Practice address

5200 Camelot Dr
Fairfield, OH 45014-4009

Phone

(513) 829-8100

Fax

(513) 829-5852

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard Barasch

Title

Administrator

Phone

(513) 829-8100

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1689655110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CAMELOT DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144009",
            "telephone_number": "513-829-8100",
            "fax_number": "513-829-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CAMELOT DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144009",
            "telephone_number": "513-829-8100",
            "fax_number": "513-829-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY EXTENDED CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "BARASCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-829-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379522",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000002915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lan Huong Tran Vu
• Treatment Solutions Family Practice LLC
• Michelle R Treinen, RD,LD
• Amanda B Treon, CNM
• Tri State Urologic Services PSC Inc
• Dennis Sam Trinh, DDS
• Trinity Medical Home Care Services
• Tristate Center for Health & Wellness
• Triumphant Care Limited
• Michelle E Tromblay, RPH

• Skilled Nursing Facility in Fairfield, OH
• Providers in Fairfield, 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 Oct 12, 2010; 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.