Organization Active NPI

Sanctuary at Whispering Meadows Inc

  • Skilled Nursing Facility
  • Dayton, OH
National Provider Identifier
1730173113
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5247 Issued in OH
Legal business name
SANCTUARY AT WHISPERING MEADOWS INC
Practice address
264 Wilmington Ave
Dayton, OH 45420-1989
Phone
(937) 256-4663
Fax
(937) 558-1810
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Robert C Banasik, PHD
Title
President
Phone
(614) 299-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5247 OH Primary

Addresses

Primary practice location

264 Wilmington Ave
Dayton, OH 45420-1989

Mailing address

PO Box 8309
1207 N High St
Columbus, OH 43201-0309
Phone (614) 299-3100

Other identifiers 1

IdentifierTypeStateIssuer
2688926MedicaidOH

Other names 1

  • Sanctuary at Wilmington Place 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": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1730173113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8309",
            "address_2": "1207 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432010309",
            "telephone_number": "614-299-3100",
            "fax_number": "614-299-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 WILMINGTON AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201989",
            "telephone_number": "937-256-4663",
            "fax_number": "937-558-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY AT WHISPERING MEADOWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BANASIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-299-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2688926",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary at Wilmington Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.