Provider Demographics
NPI:1003670530
Name:CSL CINCINNATI LLC
Entity Type:Organization
Organization Name:CSL CINCINNATI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-308-8354
Mailing Address - Street 1:14755 PRESTON RD STE 810
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-6815
Mailing Address - Country:US
Mailing Address - Phone:972-770-5600
Mailing Address - Fax:
Practice Address - Street 1:5156 N BEND XING
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-3106
Practice Address - Country:US
Practice Address - Phone:513-661-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility