THE CARLYLE HOUSE INC (NPI# 1689012528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689012528 |
| Entity Type | Organization |
| Organization Name | THE CARLYLE HOUSE INC |
| Practice Address |
3490 Far Hills Ave Kettering OH 45429-2500 |
| Mailing Address |
1371 W Rahn Rd Dayton OH 45459-1431 |
| Practice Telephone | 9372933490 |
| Practice Fax Number | 9372933491 |
| Mailing Telephone | 9374348820 |
| Mailing Fax Number | 9374348850 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | MS. DENISE MARIE NELSON (VICE PRESIDENT) |
| Authorized Official Telephone | 9374348820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
2634R | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO DEPARTMENT OF HEALTH | 2634R | 01 |
| Street Address |
3490 FAR HILLS AVE |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376589184 | Jerry Allen Whetstone | Specialist/Technologist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2006-06-21 |
| 1992916126 | Bryan Rogers | Specialist/Technologist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-05-28 |
| 1932329596 | Roger D Wright | Physical Therapist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-26 |
| 1396964367 | Heather Sue Adaway | Physical Therapist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-25 |
| 1831318963 | Patricia Ann Scott | Physical Therapy Assistant | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-25 |
| 1417176520 | Christopher Chiudioni | Physical Therapist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-25 |
| 1629297981 | Kristine A Flais | Physical Therapist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-25 |
| 1497974299 | Amie J Hilderbrandt | Specialist/Technologist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-24 |
| 1790903763 | Aaron Kyle Faucett | Specialist/Technologist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-23 |
| 1851517908 | Danielle Elizabeth Hurt | Specialist/Technologist | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
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| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1104375013 | Mattmo Outreach Residential Serivces | Assisted Living Facility | 135 S Liberty St, Delaware, OH 43015-2568 | 2016-10-04 |
| 1437403508 | Fairview Meadows Care Center, Inc. | Assisted Living Facility | 512 W Jackson St, Millersburg, OH 44654-8400 | 2012-10-29 |
| 1740599885 | Just People | Assisted Living Facility | 4506 Springmeadow Dr, Cincinnati, OH 45229-1122 | 2010-10-06 |
| 1942519723 | Bj's Haven /bj's Haven II | Assisted Living Facility | 3934 E 75th St, 7426 Worley Avenue, Cleveland, OH 44105-3800 | 2010-09-28 |
| 1841354156 | L & H Home Care, LLC | Assisted Living Facility | 95 N Arlington St, Akron, OH 44305-2447 | 2006-12-21 |
| 1033210844 | Midwest Health Services, Inc. | Assisted Living Facility | 11 Lincoln Way W, 5a, Massillon, OH 44647-6585 | 2006-09-26 |
| 1043244395 | Roger's Retirement Center, Inc. | Assisted Living Facility | 966 E 146th St, Cleveland, OH 44110-3729 | 2006-07-11 |
| 1942760202 | Margaret Ferda | Assisted Living Facility | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-03-22 |
| 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.