Earley and Ross, LTD.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3728 Issued in OH

Legal business name

EARLEY AND ROSS, LTD.

Doing business as

Autumn Years Nursing Center

Practice address

580 E Washington St
Sabina, OH 45169-1253

Phone

(937) 584-2497

Fax

(937) 584-2508

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Alan Ross

Title

Administrator

Phone

(937) 584-2497

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Autumn Years Nursing Center Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952460958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E WASHINGTON ST",
            "city": "SABINA",
            "state": "OH",
            "postal_code": "451691253",
            "telephone_number": "937-584-2497",
            "fax_number": "937-584-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E WASHINGTON ST",
            "city": "SABINA",
            "state": "OH",
            "postal_code": "451691253",
            "telephone_number": "937-584-2497",
            "fax_number": "937-584-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLEY AND ROSS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-584-2497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218291",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Years Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Sabina, OH
• Providers in Sabina, 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 Aug 22, 2020; 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.