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NPI Code Detail

MEDICARE: CINCINNATI SENIOR CARE, LLC

MEDICARE: CINCINNATI SENIOR CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1538373923
Entity Type Code : Organization
Provider Name (Legal Business Name) : CINCINNATI SENIOR CARE, LLC
Provider Business Mailing Address
First Line : 4001 ROSSLYN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1111
Country : US
Telephone Number : 513-272-0600
Fax Number :
Provider Business Practice Location Address
First Line : 4001 ROSSLYN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1111
Country : US
Telephone Number : 513-272-0600
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : KENNETH C HART JR.
Credential :
Telephone Number : 423-584-6755
Provider Enumeration Date : 05/09/2007
Last Update Date : 11/29/2022

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Directions to “CINCINNATI SENIOR CARE, LLC ” Practice Location

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