National Church Residences Legacy Village

LBN: Traditions At Xenia
National Church Residences Legacy Village is an health care organization with primary practice located at 695 Wycliffe Dr , Xenia OH 45385. 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. Traditions At Xenia can be contacted via phone (937) 372-0359, or through Dimickele, Susan via phone (614) 251-4151.

Contact Information

Primary practice address
695 Wycliffe Dr Xenia OH 45385
Phone: (937) 372-0359
Fax: (937) 372-0037
Website:
Map and Directions
Authorized official contact:
Name: Dimickele, Susan
Phone: (614) 251-4151

Health care specialties

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

Profile Details

NPI number 1578868386
LBN Legal business name Traditions At Xenia
DBA Doing business as National Church Residences Legacy Village
Authorized official Dimickele, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2011
Last updated Feb 9th, 2022 - about 2 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 1578868386 NPPES
Ohio MEDICAID 3125004

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