Provider Demographics
NPI:1558946459
Name:CHARTER SENIOR LIVING CINCINNATI, LLC
Entity Type:Organization
Organization Name:CHARTER SENIOR LIVING CINCINNATI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF HEALTH & WELLNESS
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PFINGSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-803-8132
Mailing Address - Street 1:5150 NORTH BEND CROSSING
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247
Mailing Address - Country:US
Mailing Address - Phone:513-366-6400
Mailing Address - Fax:513-366-6401
Practice Address - Street 1:5150 NORTH BEND CROSSING
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247
Practice Address - Country:US
Practice Address - Phone:513-366-6400
Practice Address - Fax:513-366-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility