Healthcare Provider Details

I. General information

NPI: 1457279234
Provider Name (Legal Business Name): BD MOUNT VERNON OPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 YAUGER RD
MOUNT VERNON OH
43050-8329
US

IV. Provider business mailing address

12800 N MERIDIAN ST STE 100
CARMEL IN
46032-9437
US

V. Phone/Fax

Practice location:
  • Phone: 740-306-3604
  • Fax:
Mailing address:
  • Phone: 317-641-0418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SHANNON RINEARSON
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 317-641-0418