Nic 14 Dayton Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2032R Issued in OH

Legal business name

NIC 14 DAYTON LEASING LLC

Practice address

3797 Summit Glen Rd
Dayton, OH 45449-3661

Phone

(937) 412-2727

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Paul Boethel

Title

Vice-President

Phone

(469) 304-5033

Specialties & licenses 1

Addresses

Other names 1

• Laurelwood Senior Living Doing business as

Locations

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1922421437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DALLAS PKWY",
            "address_2": "380",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935980",
            "telephone_number": "469-304-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3797 SUMMIT GLEN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493661",
            "telephone_number": "937-412-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 14 DAYTON LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BOETHEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "469-304-5033"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2032R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurelwood Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khanhbao Nguyen, PHARMD
• Kim Thi Nguyen, NP
• Kristie Nguyen, DO
• Marissa Sloane Nguyen, MA, CCC-SLP
• Thong Duc Nguyen, M.D.
• Earl Nichols
• Francis Nichols
• Patricia Nichols
• Brendon Nicholson, M.D.
• Yelena Nicholson, DO

• Assisted Living Facility in Dayton, OH
• Providers in Dayton, 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 Mar 26, 2014; 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.