Provider Demographics
NPI:1174510986
Name:DAYVIEW CARE CENTER
Entity Type:Organization
Organization Name:DAYVIEW CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-845-8219
Mailing Address - Street 1:1885 N DAYTON LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-8292
Mailing Address - Country:US
Mailing Address - Phone:937-845-8219
Mailing Address - Fax:937-845-2404
Practice Address - Street 1:1885 N DAYTON LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-8292
Practice Address - Country:US
Practice Address - Phone:937-845-8219
Practice Address - Fax:937-845-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4696314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH8959766Medicaid
OH8959766Medicaid