Healthcare Provider Details

I. General information

NPI: 1427031012
Provider Name (Legal Business Name): MCV HEALTH CARE FACILITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 WESTERN ROW RD
MASON OH
45040-1438
US

IV. Provider business mailing address

411 WESTERN ROW RD
MASON OH
45040-1438
US

V. Phone/Fax

Practice location:
  • Phone: 513-398-1486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number1962R
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1962N
License Number StateOH

VIII. Authorized Official

Name: ERIC DUDASKO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 513-398-1486