Indiana Senior Housing Health Care Properties, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2109N Issued in OH

Legal business name

INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.

Doing business as

Cedar Village Senior Living

Practice address

5467 Cedar Village Dr
Mason, OH 45040-8693

Phone

(513) 754-3100

Fax

(513) 336-3174

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

James L Whitlatch

Title

Chair

Phone

(812) 332-9295

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Village Senior Living Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Indiana Senior Housing Health Care Properties, Inc.

  dba Cedar Village Assisted Living

  • Assisted Living Facility
  • Mason, OH
  • NPI 1396201521
  NPPES parent name

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1699265645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 E COVENANTER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015454",
            "telephone_number": "812-332-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408693",
            "telephone_number": "513-754-3100",
            "fax_number": "513-336-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "WHITLATCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "812-332-9295"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2109N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000560",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Village Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Indiana Senior Housing Health Care Properties, Inc. (Cedar Village Assisted Living)
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• Skilled Nursing Facility in Mason, OH
• Providers in Mason, 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 May 15, 2018; 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.