Dual CC, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

520009 Issued in OH

Legal business name

DUAL CC, INC.

Doing business as

Dual manor

Practice address

515 Martin Luther King Dr E
Cincinnati, OH 45229-3316

Phone

(513) 961-2853

Fax

(513) 487-6885

NPI assigned

Sep 26, 2005

Last updated

Oct 26, 2009By 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

Karen Jamison

Title

President

Phone

(513) 751-4900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dual manor Doing business as

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1689660631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MARTIN LUTHER KING DR E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293316",
            "telephone_number": "513-961-2853",
            "fax_number": "513-487-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MARTIN LUTHER KING DR E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293316",
            "telephone_number": "513-961-2853",
            "fax_number": "513-487-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL CC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-751-4900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "520009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5491620001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dual manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Drzycimski
• Leo Dsouza, MD
• Sharon A Dsouza, MD
• Kelley Trang Du-Cunningham
• Trung Du
• Olga Duarte, MD
• Jadyn Makenna Dubach
• Alison Dubasak
• Allen Dube, RN
• Caitlyn Dubey

• 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 Oct 26, 2009; 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.