SL Evergreen LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2852 Issued in OH

Legal business name

SL EVERGREEN LLC

Practice address

230 W Galbraith Rd
Cincinnati, OH 45215-5223

Phone

(513) 948-2308

Fax

(513) 948-0063

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Lori J Ward, LNHA

Title

Executive Director

Phone

(513) 948-2308

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710987862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155223",
            "telephone_number": "513-948-2308",
            "fax_number": "513-948-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452155223",
            "telephone_number": "513-948-2308",
            "fax_number": "513-948-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL EVERGREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-948-2308",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY LICENSURE",
            "identifier": "2852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Howard Skurow, MD
• Steven Marc Skurow, D.C.
• Allison Skweres
• Sky L Shelby Incorporated (Shelby Chiropractic Offices, Inc)
• Skyway Counseling LLC
• SL Evergreen, LLC (Evergreen Retirement Community)
• SL Seasons LLC
• SL Wellspring LLC
• Lauren Slabaugh, PA-C
• Melissa M Slabaugh, APRN-CNP

• Assisted Living Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.