MEDICARE: THE SUITES AT WALNUT CREEK

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	310400000X	Assisted Living Facility	6082	OH

General Provider Information

NPI Number	:	1629062310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SUITES AT WALNUT CREEK

Provider Business Mailing Address
First Line	:	2501 KEYSTONE CLUB DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45439-4223
Country	:	US
Telephone Number	:	937-299-0194
Fax Number	:	937-299-1907

Provider Business Practice Location Address
First Line	:	2501 KEYSTONE CLUB DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45439-4223
Country	:	US
Telephone Number	:	937-299-0194
Fax Number	:	937-299-1907

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MR. JOHN HOCHWALT
Credential	:
Telephone Number	:	937-293-7703

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1154178028 — WALNUT CREEK AL OPCO LLC
Practice Location Address:

2501 KEYSTONE CLUB DR
KETTERING, OH
45439-4223

Practice Phone: 330-620-7828
Practice Fax:

1326042847 — DR. HEIDI F SPROWLS DDS
Practice Location Address:

7083 CORPORATE WAY
DAYTON, OH
45459-4223

Practice Phone: 937-434-1151
Practice Fax: 937-434-0698

1710963194 — DR. MARK SCOTT WENZEL DDS
Practice Location Address:

7083 CORPORATE WAY
DAYTON, OH
45459-4223

Practice Phone: 937-434-1151
Practice Fax: 937-434-0698

1811005879 — DR. DENNIS EVAN O'GRADY PSY.D.
Practice Location Address:

7085 CORPORATE WAY
DAYTON, OH
45459-4223

Practice Phone: 937-428-0724
Practice Fax: 937-428-0824

1952946055 — CAROLINE ELISABETH HAMBLIN MED, LPCC, NCC
Practice Location Address:

1785 BIG HILL RD
DAYTON, OH
45439-2219

Practice Phone: 937-264-0084
Practice Fax:

1760483531 — MS. ELLEN S. FINCH PSYD, LISW
Practice Location Address:

3131 S. DIXIE DRIVE , SUITE 400
DAYTON, OH
45439

Practice Phone: 937-299-0636
Practice Fax: 937-294-4669

Directions to “THE SUITES AT WALNUT CREEK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.