Organization
DEACONESS LONG TERM CARE OF OHIO, INC.
Active
Other names
Mason Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MURTA (COO)
(513) 559-2265
Entity
Organization
Contact information
Practice address
5640 COX SMITH RD, MASON, OH 45040-2210
(513) 398-2881
(513) 398-2118
Mailing address
615 ELSINORE PL STE 901, CINCINNATI, OH 45202-1459
(513) 487-3600
(513) 475-4325
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5285
OH
314000000X
Skilled Nursing Facility
Primary
5027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129140
—
OH
01
—
5027
SNF LICENSE #
OH
01
—
5285
RES. CARE FACILITY LIC #
OH
Enumeration date
08/26/2005
Last updated
01/27/2020
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