NPIMap

Organization Active NPI

Otterbein Lebanon Retirement Living Community

  • Nursing Facility/Intermediate Care Facility
  • Lebanon, OH
National Provider Identifier
1942595640
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITY
Practice address
580 N State Route 741
Lebanon, OH 45036-8839
Phone
(513) 933-5400
Fax
(513) 932-1054
NPI assigned
Jun 10, 2011
Last updated
Jun 14, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
OTTERBEIN HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Chris Green
Title
Chief Financial Officer
Phone
(513) 933-5400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

580 N State Route 741
Lebanon, OH 45036-8839

Mailing address

585 N State Route 741
Lebanon, OH 45036-8840
Phone (513) 933-5444

National Provider Directory

National Provider Directory
Tax ID family
Otterbein Lebanon Retirement Living Community4 organizations share this tax ID, including this one
Part of
Otterbein Lebanon Retirement Living Community

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1942595640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N STATE ROUTE 741",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368840",
            "telephone_number": "513-933-5444",
            "fax_number": "513-932-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N STATE ROUTE 741",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368839",
            "telephone_number": "513-933-5400",
            "fax_number": "513-932-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTERBEIN LEBANON RETIREMENT LIVING COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTTERBEIN HOMES",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "513-933-5400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.