Sycamore Glen Retirement Community

LBN: Kettering Affiliated Health Services
Sycamore Glen Retirement Community is an health care organization with primary practice located at 317 Sycamore Glen Dr , Miamisburg OH 45342-5720. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Kettering Affiliated Health Services can be contacted via phone (937) 866-2984, or through Mewhirter, Michael via phone (937) 395-8994.

Contact Information

Primary practice address
317 Sycamore Glen Dr Miamisburg OH 45342-5720
Phone: (937) 866-2984
Fax: (937) 866-7488
Website:
Map and Directions
Authorized official contact:
Name: Mewhirter, Michael
Phone: (937) 395-8994

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1876R Ohio

Profile Details

NPI number 1881023885
LBN Legal business name Kettering Affiliated Health Services
DBA Doing business as Sycamore Glen Retirement Community
Authorized official Mewhirter, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 11th, 2013
Last updated Sep 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881023885 NPPES
Ohio MEDICAID 2676886

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