Embassy Garden Court LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1515N Issued in OH

Legal business name

EMBASSY GARDEN COURT LLC

Practice address

4911 Covenant House Dr
Dayton, OH 45426-2007

Phone

(937) 837-2651

Fax

(937) 837-5831

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Paul B Bergsten

Title

Ceo

Phone

(937) 825-6622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Elaine Berner, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Oakwood, OH
  • NPI 1952384505
  NPD (past)
• Robert L Hunter, DO

  • Family Medicine Physician
  • Huber Heights, OH
  • NPI 1114920485
  NPD (past)

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1841689650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ENTERPRISE DRIVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "937-825-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 COVENANT HOUSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454262007",
            "telephone_number": "937-837-2651",
            "fax_number": "937-837-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY GARDEN COURT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-825-6622"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1515N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faithlyn Elsinger
• Cynthia Ann Ely
• Tara Elyea
• Evangeline Elzey, MSW, LSW
• Emadene Healthcare LLC
• Emboldened Mind LLC
• Emergency Medicine Specialists, Inc.
• Marissa N Emerson, CRNA
• Miriam Emile, MD
• Christopher James Emiry, CDCA

• Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, 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 Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.