# SENIORLIFESTYLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134568132
- **Authorized official:** NICOLE SCHRENKER (LPN)
- **Authorized official phone:** (513) 948-2339

## Contact information

- **Practice address:** 8000 EVERGREEN RIDGE DR, CINCINNATI, OH 45215-5750
- **Practice address phone:** (513) 948-2308
- **Mailing address:** 325 KNOLLRIDGE CT, APT, FAIRFIELD, OH 45014-8809
- **Mailing address phone:** (513) 600-1596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 148696 | OH | — |
| 311ZA0620X | Adult Care Home Facility | 148696 | OH | Yes |
| 311ZA0620X | Adult Care Home Facility | 27068634A | IN | — |
| 314000000X | Skilled Nursing Facility | 148696 | OH | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | 148696 | OH | — |
| 385H00000X | Respite Care | 148696 | OH | — |
| 385H00000X | Respite Care | 27068634A | IN | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 27068634A | IN | — |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 06/24/2013