Provider Demographics
NPI:1780230656
Name:CINCINNATI SENIOR CARE, LLC
Entity Type:Organization
Organization Name:CINCINNATI SENIOR CARE, LLC
Other - Org Name:GARDENS OF OAKLEY HEALTH AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CANAN-DENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-584-6755
Mailing Address - Street 1:4001 ROSSLYN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1111
Mailing Address - Country:US
Mailing Address - Phone:513-272-0600
Mailing Address - Fax:
Practice Address - Street 1:4001 ROSSLYN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1111
Practice Address - Country:US
Practice Address - Phone:513-272-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility