KETTERING AFFLIATED HEALTH SERVICES (NPI# 1881023885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881023885 |
| Entity Type | Organization |
| Organization Name | KETTERING AFFLIATED HEALTH SERVICES |
| Other Organization Name | SYCAMORE GLEN RETIREMENT COMMUNITY |
| Practice Address |
317 Sycamore Glen Dr Miamisburg OH 45342-5720 |
| Practice Telephone | 9378662984 |
| Practice Fax Number | 9378667488 |
| Mailing Telephone | 9378662984 |
| Mailing Fax Number | 9378667488 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |
| Authorized Official Name | MRS. MICHELE LEIGH BROOKE (DIRECTOR) |
| Authorized Official Telephone | 9378662984 |
| Authorized Official Credential | MGS, LNHA, LSW, |
| Is Organization Subpart | Y |
| Parent Organization Name | KETTERING HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1876R | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sycamore Glen Retirement Community | Doing Business As Name - Organization |
| Street Address |
317 SYCAMORE GLEN DR |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092031 | Ec Opco Washington Township, LLC | Assisted Living Facility | 8630 Washington Church Rd, Miamisburg, OH 45342-3795 | 2018-02-02 |
| 1366690562 | Heartland of Miamisburg Oh LLC | Assisted Living Facility | 450 Oak Ridge Blvd, Miamisburg, OH 45342-3673 | 2008-09-03 |
| 1326204140 | Bcc Washington Township Operations, LLC | Assisted Living Facility | 8630 Washington Church Rd, Miamisburg, OH 45342-3795 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487899 | Nancy Lee Ward | Assisted Living Facility | 15069 Matville Rd, Orient, OH 43146-9725 | 2020-11-04 |
| 1235738014 | Country Living | Assisted Living Facility | 13028 Us Highway 52, West Portsmouth, OH 45663-8909 | 2020-10-22 |
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1568075778 | Transparent Care LLC | Assisted Living Facility | 7791 Heathermoor Dr, Columbus, OH 43235-4568 | 2020-08-26 |
| 1649891151 | The Pines Alf Inc. | Assisted Living Facility | 18144 Claridon Troy Rd, Hiram, OH 44234-9698 | 2020-05-06 |
| 1982238754 | Jennings Center for Older Adults | Assisted Living Facility | 10950 Pinegrove Trl, Chardon, OH 44024-8389 | 2020-03-02 |
| 1881228211 | Ashford of Grove City, LLC | Assisted Living Facility | 3197 Southwest Blvd, Grove City, OH 43123-2349 | 2020-02-25 |
| 1326671827 | With Grace, LLC | Assisted Living Facility | 20129 Scottsdale Blvd, Shaker Heights, OH 44122-6460 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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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.