Garden Manor Terrace, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0987R Issued in OH

Legal business name

GARDEN MANOR TERRACE, INC.

Practice address

6898 Hamilton Middletown Rd
Middletown, OH 45044-7859

Phone

(513) 424-5321

Fax

(513) 420-5367

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Michael Shane CR, ADMINISTRATOR

Title

Vice President of Operations

Phone

(513) 424-5321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1992112403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6898 HAMILTON MIDDLETOWN RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450447859",
            "telephone_number": "513-424-5321",
            "fax_number": "513-420-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6898 HAMILTON MIDDLETOWN RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450447859",
            "telephone_number": "513-424-5321",
            "fax_number": "513-420-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN MANOR TERRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "CR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "513-424-5321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "0987R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Gaines, R.N.
• Douglas L Gaker, MD
• Nickolas J Garcia
• Rachele Garcia, LPN
• Garden Manor Extended Care Center, Inc.
• Robert David Garland, DDS
• Neshai Garrett
• Colin J Gastright
• Jennifer Gebhart, RN
• Desiree Marie Gelhausen, OTR/L

• Assisted Living Facility in Middletown, OH
• Providers in Middletown, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.