Dayton Senior Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1578 Issued in OH

Legal business name

DAYTON SENIOR CARE LLC

Doing business as

Friendship Village

Practice address

5790 Denlinger Rd
Dayton, OH 45426-1838

Phone

(937) 837-5581

Fax

(937) 854-8203

NPI assigned

Mar 5, 2007

Organization subpart

Yes

Parent organization

DAYTON SENIOR CARE LLCAs reported in NPPES

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

Authorized official

Name

Christin J Rose

Title

Chairman

Phone

(423) 584-6755

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Friendship Village Doing business as

Part of

Dayton Senior Care LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dayton Senior Care LLC

  dba Friendship Village ALF

  • Assisted Living Facility
  • Dayton, OH
  • NPI 1467055475
  NPPES parent name

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1932238854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261838",
            "telephone_number": "937-837-5581",
            "fax_number": "937-854-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261838",
            "telephone_number": "937-837-5581",
            "fax_number": "937-854-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON SENIOR CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYTON SENIOR CARE LLC",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "423-584-6755"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000501860",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2686820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Friendship Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 28, 2019; 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.