CHS - Miami Valley, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1593-NH Issued in OH

Legal business name

CHS - MIAMI VALLEY, INC

Doing business as

Crossroads Rehabilitation & Nursing

Practice address

208 N Cassel Rd
Vandalia, OH 45377-2926

Phone

(937) 898-4202

Fax

(937) 898-8699

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Sandy Muir

Title

VP of Government Affairs

Phone

(440) 793-2245

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossroads Rehabilitation & Nursing Doing business as

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1942284138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 W ORANGE RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430158922",
            "telephone_number": "330-204-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CASSEL RD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772926",
            "telephone_number": "937-898-4202",
            "fax_number": "937-898-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS - MIAMI VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "VP OF GOVERNMENT AFFAIRS",
        "authorized_official_telephone_number": "440-793-2245"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1593-NH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Rehabilitation & Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Rehabilitation & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele R Carlson, CNM
• Rebecca Caserta, LPC
• Tiffany Castle, FNP-C
• Brenda Lee Chewning, CNP
• Teresa Jo Christian
• Anthony Jacob Cisne
• City of Vandalia (Vandalia Fire Department)
• Holly Coby, CD (DONA)
• Korey Danuelle Cocking
• Alyssa Coleman, LCDCII

• Skilled Nursing Facility in Vandalia, OH
• Providers in Vandalia, 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 Dec 19, 2023; 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.