CT OHIO BELLBROOK, LLC (NPI# 1316434160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316434160 |
| Entity Type | Organization |
| Organization Name | CT OHIO BELLBROOK, LLC |
| Practice Address |
1957 N Lakeman Dr Bellbrook OH 45305-1245 |
| Mailing Address |
10 Glenlake Pkwy Ste 140 Atlanta GA 30328-7246 |
| Practice Telephone | 9378487800 |
| Practice Fax Number | 9378485683 |
| Mailing Telephone | 7704565822 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | DAVID RUBENSTEIN (PRESIDENT & CEO) |
| Authorized Official Telephone | 7704565822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 141348 | 05 |
| Street Address |
1957 N LAKEMAN DR |
| City | BELLBROOK |
| State | OH |
| Zip Code | 45305-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815762 | 1957 N. Lakeman Avenue Operating Company, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1212 | 2005-07-15 |
| 1407355696 | Cheryl L Minney | Nurse Practitioner | 1957 N Lakeman Dr, Bellbrook, OH 45305-1245 | 2018-02-02 |
| 1174036685 | Julie Lyn Buzzard | Speech-Language Pathologist | 1957 N Lakeman Dr, Bellbrook, OH 45305-1245 | 2017-11-07 |
| 1326550211 | Mary Devito | Occupational Therapist | 1957 N Lakeman Dr, Bellbrook, OH 45305-1245 | 2017-10-31 |
| 1215312285 | Pristine Senior Living of Bellbrook, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1245 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715727 | Cynthia Gebhart | Nurse Practitioner | 2450 Ferry Road, Bellbrook, OH 45305 | 2019-01-31 |
| 1952690810 | Neal Mehan | Neurological Surgery | 480 Sugarbrook Trl, Bellbrook, OH 45305 | 2011-03-31 |
| 1285792358 | John P Harmeyer | Dentist | 4291 Sugarcreek Dr, Bellbrook, OH 45305 | 2006-12-04 |
| 1548337850 | Douglas A Songer | Psychiatry & Neurology | 4301 St Rt 725, Ste B, Bellbrook, OH 45305 | 2006-11-29 |
| 1639250145 | David Scott Nicholson | Obstetrics & Gynecology | 4403 State Route 725 Ste A1, Bellbrook, OH 45305 | 2006-10-18 |
| 1568491306 | Richard Alan Welfare | Dentist | 4120 West Franklin St, Bellbrook, OH 45305 | 2006-07-02 |
| 1821398777 | Eric Bletzinger | Registered Nurse | 1930 N Lakeman Dr, Bellbrook, OH 45305 | 2010-10-26 |
| 1699317610 | Jessica Lynn Duke | Nurse Practitioner | 1930 N Lakeman Dr Ste 109, Bellbrook, OH 45305-1200 | 2019-10-10 |
| 1366511503 | William Charles Dahling | Dentist | 1964 N Lakeman Dr, Bellbrook, OH 45305-1229 | 2006-11-06 |
| 1811953318 | Christine B Weller | Family Medicine | 1930 N Lakeman Dr, Suite 109, Bellbrook, OH 45305-1239 | 2006-04-24 |
| Find all providers in zip 45305 | ||||
| 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 |
|---|---|---|---|---|
| 1003815762 | 1957 N. Lakeman Avenue Operating Company, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1212 | 2005-07-15 |
| 1215312285 | Pristine Senior Living of Bellbrook, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1245 | 2015-07-20 |
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|---|---|---|---|---|
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| 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 | ||||
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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.