Provider Demographics
NPI:1326114307
Name:XENIA EAST MANAGMENT SYSTEMS INC
Entity Type:Organization
Organization Name:XENIA EAST MANAGMENT SYSTEMS INC
Other - Org Name:HOSPITALITY HOME EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:413-447-2996
Mailing Address - Street 1:1301 MONROE DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-1623
Mailing Address - Country:US
Mailing Address - Phone:937-372-4495
Mailing Address - Fax:937-372-3224
Practice Address - Street 1:1301 MONROE DR
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-1623
Practice Address - Country:US
Practice Address - Phone:937-372-4495
Practice Address - Fax:937-372-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4340314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0206691Medicaid
365022Medicare Oscar/Certification
OH0206691Medicaid
1326114307Medicare Oscar/Certification