NPIMap

Organization Active NPI

Forest Glen Rehabilitation and Healthcare Center LLC

  • Alzheimer Center (Dementia Center)
  • Springfield, OH
National Provider Identifier
1710804612
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC
Practice address
2165 Montego Dr
Springfield, OH 45503-6465
Phone
(937) 390-9913
NPI assigned
Jul 1, 2026
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Kevin Daubenmire
Title
Medicare Authorized Official
Phone
(732) 730-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X NU Primary

Addresses

Primary practice location

2165 Montego Dr
Springfield, OH 45503-6465

Mailing address

229 Route 70 FL 2
Toms River, NJ 08755-1026

National Provider Directory

National Provider Directory
Tax ID family
Forest Glen Rehabilitation and Healthcare Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2165 Montego Dr
Springfield, OH 45503

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1710804612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 ROUTE 70 FL 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 MONTEGO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455036465",
            "telephone_number": "937-390-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "DAUBENMIRE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-730-7360"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.