Provider Demographics
NPI:1669672127
Name:OXFORD SENIOR CITIZENS, INC.
Entity Type:Organization
Organization Name:OXFORD SENIOR CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:POTTER-SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-523-8100
Mailing Address - Street 1:922 TOLLGATE DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-2065
Mailing Address - Country:US
Mailing Address - Phone:513-523-8100
Mailing Address - Fax:
Practice Address - Street 1:922 TOLLGATE DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-2065
Practice Address - Country:US
Practice Address - Phone:513-523-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0809254Medicaid