OTTERBEIN MAINEVILLE, LLC (NPI# 1023337847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023337847 |
| Entity Type | Organization |
| Organization Name | OTTERBEIN MAINEVILLE, LLC |
| Other Organization Name | AVALON BY OTTERBEIN AT MAINEVILLE |
| Practice Address |
201 Marge Schott Way Maineville OH 45039-8863 |
| Mailing Address |
580 N State Route 741 Lebanon OH 45036-8839 |
| Practice Telephone | 5135835161 |
| Practice Fax Number | 5135831427 |
| Mailing Telephone | 8139335401 |
| Mailing Fax Number | 5139321054 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | JAMES CHRIS GREEN (TREASURER & CFO) |
| Authorized Official Telephone | 5139335418 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | 2574N | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avalon by Otterbein at Maineville | Doing Business As Name - Organization |
| Street Address |
201 MARGE SCHOTT WAY |
| City | MAINEVILLE |
| State | OH |
| Zip Code | 45039-8863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598980 | Alexandra Ingram | Occupational Therapist | 201 Marge Schott Way, Maineville, OH 45039-8863 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1508495094 | Improved Life Home Care LLC | Home Health | 2575 W. Us. Rt 22 - 3, Maineville, OH 45039 | 2020-04-06 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| 1801384060 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Dentist | 45 E Us Route 22, Maineville, OH 45039 | 2018-04-24 |
| 1760979058 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Clinic/Center | 45 E Us Route 22 & 3, Maineville, OH 45039 | 2018-04-23 |
| 1689172165 | Tammy Lynn Morneau | Behavioral Analyst | 7264 Columbia Rd Ste 1000, Mason, OH 45039 | 2018-01-30 |
| 1205351269 | Kimberly Hensley | Speech-Language Pathologist | 7247 Zoar Rd., Maineville, OH 45039 | 2017-08-10 |
| 1265953715 | Leslie Erin Ealy | Registered Nurse | 233 Bannock Dr, Maineville, OH 45039 | 2017-07-05 |
| 1760929103 | Mortenson Family Dental Center - Maineville LLC | Dentist | 6028 South State Road 48, Maineville, OH 45039 | 2017-01-24 |
| 1013379494 | Suzzanne Helphinstine | Physical Therapist | 7952 Acorn Trail, Maineville, OH 45039 | 2016-03-24 |
| Find all providers in zip 45039 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1508492174 | Majestic Care of Paulding LLC | Skilled Nursing Facility | 199 Road 103, Paulding, OH 45879-8776 | 2020-03-16 |
| 1548890338 | Trilogy Healthcare of Gahanna, LLC | Skilled Nursing Facility | 748 Taylor Rd, Gahanna, OH 43230-3203 | 2020-01-21 |
| 1396384194 | Progressive North Ridgeville LLC | Skilled Nursing Facility | 6200 Lear Nagle Rd, North Ridgeville, OH 44039-3224 | 2019-12-27 |
| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MAINEVILLE |
| Zip Code | 45039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.