Organization · Type 2 NPI

Dublin Convalarium Operating Company, LLC

Assisted Living Facility · Dublin, OH

NPI number 1942890306 Active

Practice location

6430 Post Rd
Dublin, OH 43016-1226

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1942890306
Entity type: Organization (Type 2)
Issued: Jan 20, 2021
Last updated: Dec 17, 2024
Status: Active

Other names

<unavail>
Convalarium at Indian Run · doing business as
Convalarium at Indian Run · doing business as

Authorized official

Mr. Jeffrey Degyansky, LNHA
Vice President of Operations
(330) 620-7828

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942890306

Dublin Convalarium Operating Company, LLC's National Provider Identifier is 1942890306, issued on Jan 20, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dublin, OH. The record was last updated on Dec 17, 2024.