Organization Active NPI

Blue Ash Healthcare LLC

  • Skilled Nursing Facility
  • Blue Ash, OH
National Provider Identifier
1871032391
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLUE ASH HEALTHCARE LLC
Practice address
4900 Cooper Road
Blue Ash, OH 45242
Phone
(937) 825-6622
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mr. Paul Bergsten
Title
Member
Phone
(937) 825-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4900 Cooper Road
Blue Ash, OH 45242

Mailing address

544 Enterprise Drive
Lewis Center, OH 43035
Phone (937) 825-6622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1871032391",
    "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": "4900 COOPER ROAD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "937-825-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ASH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-825-6622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.