Diversicare of Siena Woods, LLC
Organization Active NPI Skilled Nursing Facility · Dayton, OH
NPI 1952736779 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1952736779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- DIVERSICARE OF SIENA WOODS, LLC
- Practice address
- 6125 N Main St
Dayton, OH 45415-3110 - Phone
- (937) 278-8211
- Fax
- (937) 278-8046
- NPI assigned
- Sep 11, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- DIVERSICARE LEASING COMPANY II, LLC
Authorized official
- Name
- Kelly J Gill
- Title
- President & Ceo
- Phone
- (615) 771-7575
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
6125 N Main St
Dayton, OH 45415-3110
Mailing address
6125 N Main St
Dayton, OH 45415-3110
Phone (937) 278-8211
Other names
- Diversicare of Siena Woods
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.