Provider Demographics
NPI:1669470688
Name:SL SEASONS LLC
Entity Type:Organization
Organization Name:SL SEASONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SCHARMAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-679-9522
Mailing Address - Street 1:7300 DEARWESTER DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6119
Mailing Address - Country:US
Mailing Address - Phone:513-984-9400
Mailing Address - Fax:513-984-2927
Practice Address - Street 1:7300 DEARWESTER DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6119
Practice Address - Country:US
Practice Address - Phone:513-984-9400
Practice Address - Fax:513-984-2927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1888N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH365798Medicare Oscar/Certification