MEDICARE: DOBBINS NURSING HOME 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	0182N	OH
2	313M00000X	Nursing Facility/Intermediate Care Facility	0182N	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	:	1780771915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOBBINS NURSING HOME INC

Provider Business Mailing Address
First Line	:	PO BOX 54923
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45254-0923
Country	:	US
Telephone Number	:	513-553-4139
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 MAIN ST
Second Line	:
City	:	NEW RICHMOND
State	:	OH
Zip	:	45157-1129
Country	:	US
Telephone Number	:	513-553-4139
Fax Number	:	513-553-1060

Authorized Official
Title or Position	:	BOARD OF DIRECTOR
Name	:	PATRICIA A MEEKER
Credential	:
Telephone Number	:	513-797-5144

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	03/10/2008

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