Healthcare Provider Details

I. General information

NPI: 1669672127
Provider Name (Legal Business Name): OXFORD SENIOR CITIZENS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 TOLLGATE DR
OXFORD OH
45056-2065
US

IV. Provider business mailing address

922 TOLLGATE DR
OXFORD OH
45056-2065
US

V. Phone/Fax

Practice location:
  • Phone: 513-523-8100
  • Fax:
Mailing address:
  • Phone: 513-523-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JOAN ELIZABETH POTTER-SOMMER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 513-523-8100