Miami Shores Of Moraine, Llc

LBN: Miami Shores Of Moraine, Llc
Miami Shores Of Moraine, Llc is an health care organization with primary practice located at 3421 Pinnacle Rd , Dayton OH 45418-2918. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Miami Shores Of Moraine, Llc can be contacted via phone (937) 268-3488, or through Heermans, Lisa via phone (937) 268-3488.

Contact Information

Primary practice address
3421 Pinnacle Rd Dayton OH 45418-2918
Phone: (937) 268-3488
Fax: (937) 267-5021
Website:
Map and Directions
Authorized official contact:
Name: Heermans, Lisa
Phone: (937) 268-3488

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1723-NH Ohio

Profile Details

NPI number 1780676205
LBN Legal business name Miami Shores Of Moraine, Llc
DBA Doing business as
Authorized official Heermans, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 25th, 2008 - about 16 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 1780676205 NPPES
Ohio MEDICAID 2358112

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