The Inn at Bear Trail LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2745R Issued in OH

Legal business name

THE INN AT BEAR TRAIL LLC

Practice address

8199 Monroe Dr
Lewis Center, OH 43035-7682

Phone

(740) 879-3181

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Nancy Enciso

Title

Executive Director

Phone

(740) 879-3181

Specialties & licenses 1

Addresses

Other names 1

• Inn at Bear Trail Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1750828604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 MONROE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357682",
            "telephone_number": "740-879-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 MONROE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357682",
            "telephone_number": "740-879-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INN AT BEAR TRAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "ENCISO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-879-3181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2745R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inn at Bear Trail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lewis Center, OH
• Providers in Lewis Center, 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 Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.