MARY SCOTT NURSING HOME, INC.
NPI 1114932852
Skilled Nursing Facility in Dayton, OH

Active since July 30, 2006CLIA 36D0656398 · Waiver
3109 CAMPUS DRIVE, DAYTON, OH 45406(937) 278-0761(937) 278-6482 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Scott Nursing Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SCOTT NURSING HOME, INC. (NPI 1114932852) is a healthcare organization registered as a skilled nursing facility in Dayton, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sue D. Ducker, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114932852
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMARY SCOTT NURSING HOME, INC.
Location Address3109 CAMPUS DRIVEDayton, OH 45406
Mailing Address3109 Campus DriveDayton, OH 45406 · (937) 278-0761 · Fax (937) 278-6482
Fax(937) 278-6482
Organization SubpartNo
Authorized OfficialSue D. DuckerBusiness Office Manager · (937) 278-0761
Enumeration DateJuly 30, 2006
Last NPPES UpdateJune 16, 2009
NPI 1114932852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 4241
Definition
(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.
3109 CAMPUS DRIVE, Dayton, OH 45406

Other Identifiers 3

Medicare OSCAR/certification366122OH
Medicaid0120210OH
Medicare NSC1162540001OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0656398

Mary Scott Nursing Center · Dayton, OH
Active · expires Aug 31, 2026
CLIA Number36D0656398
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTiffany Bennett
Laboratory Phone(937) 278-0761
Laboratory LocationMary Scott Nursing Center3109 Campus Drive, Dayton, OH 45406
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Scott Nursing Home, Inc.'s NPI number?

The NPI number for Mary Scott Nursing Home, Inc. is 1114932852. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Mary Scott Nursing Home, Inc. located?

Mary Scott Nursing Home, Inc. is located at 3109 Campus Drive, Dayton, OH 45406. The listed phone number is (937) 278-0761.

What is Mary Scott Nursing Home, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Mary Scott Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0656398) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mary Scott Nursing Home, Inc. was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.