Healthcare Provider Details

I. General information

NPI: 1942208103
Provider Name (Legal Business Name): VILLASPRING HEALTH CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 HOUSTON ROAD
ERLANGER KY
41018-1264
US

IV. Provider business mailing address

390 WARDS CORNER RD
LOVELAND OH
45140-6969
US

V. Phone/Fax

Practice location:
  • Phone: 859-727-6700
  • Fax: 859-727-6710
Mailing address:
  • Phone: 513-943-4000
  • Fax: 513-943-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100925
License Number StateKY

VIII. Authorized Official

Name: DAVID EPPERS
Title or Position: CFO
Credential: CPA
Phone: 513-707-1537