MEDICARE: EPISCOPAL RETIREMENT HOMES, INC.

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	314000000X	Skilled Nursing Facility	520008	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437130556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPISCOPAL RETIREMENT HOMES, INC.

Provider Business Mailing Address
First Line	:	3550 SHAW AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208
Country	:	US
Telephone Number	:	513-871-2090
Fax Number	:	513-533-5096

Provider Business Practice Location Address
First Line	:	3550 SHAW AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208
Country	:	US
Telephone Number	:	513-871-2090
Fax Number	:	513-533-5096

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. VIRGINIA ANNE VEHLING
Credential	:	LIC NURSIN HOME ADM
Telephone Number	:	513-871-2090

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	08/10/2009

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