MEDICARE: RESIDENTIAL MANAGEMENT SYSTEMS, INC.-MELROSE

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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	0740078	OH

General Provider Information

NPI Number	:	1184124299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESIDENTIAL MANAGEMENT SYSTEMS, INC.-MELROSE

Provider Business Mailing Address
First Line	:	250 E WILSON BRIDGE RD STE 205
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085-2323
Country	:	US
Telephone Number	:	614-848-6640
Fax Number	:	614-847-0601

Provider Business Practice Location Address
First Line	:	2629 MELROSE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1601
Country	:	US
Telephone Number	:	513-521-1687
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. DIXON A. BUEHLER
Credential	:	CPA
Telephone Number	:	614-848-6640

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	02/15/2018

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