101 Mills Place Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2322 Issued in OH

Legal business name

101 MILLS PLACE OPERATIONS LLC

Doing business as

New Lebanon Center

Practice address

101 Mills PL
New Lebanon, OH 45345-1430

Phone

(505) 468-4742

Fax

(505) 468-8742

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Assistant Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other names 1

• NEW LEBANON CENTER Doing business as

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1831679737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILLS PL",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453451430",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLS PL",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453451430",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "101 MILLS PLACE OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LEBANON CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in New Lebanon, OH
• Providers in New Lebanon, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.