OTTERBEIN PORTAGE VALLEY NPI 1417510785

NPI Information

NPI: 1417510785
Provider Name: OTTERBEIN PORTAGE VALLEY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
20311 PEMBERVILLE ROAD
PEMBERVILLE, OH
ZIP 43450
Phone: (513) 933-5401
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OTTERBEIN PORTAGE VALLEY is an assisted living facility in Pemberville, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. OTTERBEIN PORTAGE VALLEY NPI is 1417510785. The provider is registered as an organization entity type.

The provider's business location address is:

20311 PEMBERVILLE ROAD
PEMBERVILLE, OH
ZIP 43450-202
Phone: (513) 933-5401

The provider's authorized official is James Chris Green .
The authorized official title is Treasurer & Cfo and has the following contact phone number (513) 933-5418.

The enumeration date for this NPI number is 4/22/2019 and was last updated on 4/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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