Organization Active NPI

Buckeye Forest at Fairfield Alf LLC

Doing business as Ayden Healthcare of Fairfield Assisted Living

  • Assisted Living Facility
  • Fairfield, OH
National Provider Identifier
1710645304
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BUCKEYE FOREST AT FAIRFIELD ALF LLC
Doing business as
Ayden Healthcare of Fairfield Assisted Living
Practice address
3801 Woodridge Boulevard
Fairfield, OH 45014
Phone
(513) 874-9933
Fax
(513) 874-2390
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Abba Stein
Title
Ceo
Phone
(513) 874-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3801 Woodridge Boulevard
Fairfield, OH 45014

Mailing address

3801 Woodridge Boulevard
Fairfield, OH 45014
Phone (513) 874-9933

Other names 1

  • Ayden Healthcare of Fairfield Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1710645304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WOODRIDGE BOULEVARD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-874-9933",
            "fax_number": "513-874-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WOODRIDGE BOULEVARD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-874-9933",
            "fax_number": "513-874-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOREST AT FAIRFIELD ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-874-9933"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayden Healthcare of Fairfield Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.