Provider Demographics
NPI:1053309278
Name:CHS - PARK VIEW, INC
Entity Type:Organization
Organization Name:CHS - PARK VIEW, INC
Other - Org Name:RESIDENCE AT PARKVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:513-682-2700
Mailing Address - Street 1:8200 BECKETT PARK DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8955
Mailing Address - Country:US
Mailing Address - Phone:513-682-2700
Mailing Address - Fax:
Practice Address - Street 1:6300 DALY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2139
Practice Address - Country:US
Practice Address - Phone:513-542-6800
Practice Address - Fax:513-542-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1304N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2485707Medicaid
OH36-5473Medicare ID - Type Unspecified