MEDICARE: NOTTINGHAM RESIDENTIAL CARE CENTER

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770446791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOTTINGHAM RESIDENTIAL CARE CENTER

Provider Business Mailing Address
First Line	:	4328 CATALPA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-5228
Country	:	US
Telephone Number	:	513-532-3808
Fax Number	:	513-277-0351

Provider Business Practice Location Address
First Line	:	4328 CATALPA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-5228
Country	:	US
Telephone Number	:	513-532-3808
Fax Number	:	513-277-0351

Authorized Official
Title or Position	:	OWNER
Name	:	RONALD L EATMON
Credential	:
Telephone Number	:	513-532-3808

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “NOTTINGHAM RESIDENTIAL CARE CENTER ” Practice Location

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