Provider Demographics
NPI:1518151729
Name:MOSKOWITZ FAMILY V
Entity Type:Organization
Organization Name:MOSKOWITZ FAMILY V
Other - Org Name:OAK HILLS PAVILION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORP. DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWART
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-598-8000
Mailing Address - Street 1:4307 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-4427
Mailing Address - Country:US
Mailing Address - Phone:513-598-8000
Mailing Address - Fax:513-598-7424
Practice Address - Street 1:4307 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-4427
Practice Address - Country:US
Practice Address - Phone:513-598-8000
Practice Address - Fax:513-598-7424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2751866Medicaid
OH2751866Medicaid