PRISTINE SENIOR LIVING OF OXFORD, LLC (NPI# 1467837435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467837435 |
| Entity Type | Organization |
| Organization Name | PRISTINE SENIOR LIVING OF OXFORD, LLC |
| Practice Address |
6099 Fairfield Rd Oxford OH 45056-1507 |
| Mailing Address |
3301 W Purdue Ave Muncie IN 47304-6356 |
| Practice Telephone | 5135236353 |
| Mailing Telephone | 3174088491 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | MR. CHRISTOPHER T COOK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3174088491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2559913 | 05 |
| Street Address |
6099 FAIRFIELD RD |
| City | OXFORD |
| State | OH |
| Zip Code | 45056-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477717809 | Deborah J Pettit | Physical Therapist | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-07-15 |
| 1255989844 | Oxford Operating Co LLC | Skilled Nursing Facility | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2019-08-28 |
| 1831601160 | Premier Estates 523, LLC | Skilled Nursing Facility | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2017-10-26 |
| 1366691206 | Johnny Monhollon | Physical Therapy Assistant | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-09-16 |
| 1528216702 | Daphne Glenn | Physical Therapist | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-08-30 |
| 1104074566 | Julia Coning | Occupational Therapist | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-08-28 |
| 1598912131 | Sarah Knight | Occupational Therapy Assistant | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-08-26 |
| 1891942421 | Paul Nasiatka | Occupational Therapy Assistant | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-08-26 |
| 1306093943 | Mark Warner | Physical Therapist | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
| 1568914596 | Devyn Jo Wilson | Student in an Organized Health Care Education/Training Program | 144 Yager Stadium, Oxford, OH 45056 | 2016-10-25 |
| 1538548185 | Linda Dingledine | Registered Nurse | 5301 University Park Blvd, Oxford, OH 45056 | 2015-05-28 |
| 1003200783 | Mary Elizabeth Ankrom | Specialist/Technologist | 501 E. High St., Oxford, OH 45056 | 2015-03-20 |
| 1902243454 | Alex Dolgov | Dentist | 474 S. Locust Street, Oxford, OH 45056 | 2013-05-23 |
| 1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1861550154 | Deborah Schindler | Dentist | 117 E Walnut Street, Oxford, OH 45056 | 2006-12-05 |
| 1821197880 | Terri Lynn Jones | Psychologist | 44 Autumn Dr, Oxford, OH 45056 | 2006-09-22 |
| 1386747095 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 123 W Spring St, Oxford, OH 45056 | 2006-09-07 |
| Find all providers in zip 45056 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386851004 | State of New York Comptrollers Office | Skilled Nursing Facility | 4207 State Highway 220, Oxford, NY 13830-4305 | 2007-05-16 |
| 1811038250 | Riverview Manor Inc. | Skilled Nursing Facility | 200 S Ohio, Box 458, Oxford, KS 67119-8080 | 2007-02-09 |
| 1124135827 | Lafayette Ltc, Inc | Skilled Nursing Facility | 1301 Belk Blvd, Oxford, MS 38655-5301 | 2006-08-25 |
| 1265441208 | Granville Health System | Skilled Nursing Facility | 1038 College St, Pob 1006, Oxford, NC 27565-2507 | 2006-08-07 |
| 1760433478 | Ggnsc Oxford LLC | Skilled Nursing Facility | 1130 Hale St, Oxford, AL 36203-2444 | 2006-05-15 |
| 1962471656 | Bn Healthcare, LLC | Skilled Nursing Facility | 500 Prospect Ave, Oxford, NC 27565-2573 | 2006-03-15 |
| 1821085630 | County of Warren | Skilled Nursing Facility | 350 Oxford Road, Oxford, NJ 07863-3224 | 2005-10-06 |
| 1598759748 | Presbyterian Homes Inc. | Skilled Nursing Facility | 7 E Locust St, Oxford, PA 19363-1354 | 2005-09-02 |
| 1811998206 | Maple Knoll Communities Inc | Skilled Nursing Facility | 6727 Contreras Rd, Oxford, OH 45056-8769 | 2005-08-09 |
| 1255989844 | Oxford Operating Co LLC | Skilled Nursing Facility | 6099 Fairfield Rd, Oxford, OH 45056-1507 | 2019-08-28 |
| Find all providers in OXFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.