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MAJESTIC CARE OF CEDAR VILLAGE ASSISTED LIVING
NPI 1124778493
Assisted Living Facility in Mason, OH

Active since March 28, 2022CLIA 36D0968963 · Waiver
5467 CEDAR VILLAGE DR, MASON, OH 45040(513) 754-3100(513) 336-3168 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Majestic Care Of Cedar Village Assisted Living NPPES

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

MAJESTIC CARE OF CEDAR VILLAGE ASSISTED LIVING (NPI 1124778493) is a healthcare organization registered as an assisted living facility in Mason, Ohio and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Paul Pruitt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124778493
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAJESTIC CARE OF CEDAR VILLAGE ASSISTED LIVING LLC
Location Address5467 CEDAR VILLAGE DRMason, OH 45040-8693
Mailing Address5467 Cedar Village DrMason, OH 45040-8693 · (513) 754-3100 · Fax (513) 336-3168
Phone(513) 754-3100
Fax(513) 336-3168
Organization SubpartNo
Authorized OfficialPaul PruittCeo · (317) 288-4029
Enumeration DateMarch 28, 2022
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1124778493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

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.

5467 CEDAR VILLAGE DR, Mason, OH 45040
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Other Names 1

Doing Business AsMajestic Care Of Cedar Village Assisted Living

Other Identifiers 1

Other2109ROH · Licensure

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 36D0968963

Majestic Care Of Cedar Village · Mason, OH
Active · expires Dec 28, 2027
CLIA Number36D0968963
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorScott Kotzin
Laboratory Phone(513) 754-3100
Laboratory LocationMajestic Care Of Cedar Village5467 Cedar Village Drive, Mason, OH 45040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARETTA E. GENNANTONIO MD
Internal Medicine (Geriatric Medicine)
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 336-3141
MS. JUDITH EILEEN MITCHELL CNS,BC
Registered Nurse (Psychiatric/Mental Health)
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 754-3100
JEWISH HOME OF CINCINNATI, INC.
Home Health
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 754-3100
JANEL ROBERTA HARTMANN
Physical Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 754-3100
LAURA BRITTON
Occupational Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 754-3100
DEBORAH LANE TYLER OTR/L
Occupational Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 336-3122
INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.
Skilled Nursing Facility
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County (513) 754-3100
LISA ANN KETRON COTA/L
Occupational Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Warren County No phone listed

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 Majestic Care Of Cedar Village Assisted Living LLC's NPI number?

The NPI number for Majestic Care Of Cedar Village Assisted Living LLC is 1124778493. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Majestic Care Of Cedar Village Assisted Living LLC located?

Majestic Care Of Cedar Village Assisted Living LLC is located at 5467 Cedar Village Dr, Mason, OH 45040. The listed phone number is (513) 754-3100.

What is Majestic Care Of Cedar Village Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Majestic Care Of Cedar Village Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0968963) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Majestic Care Of Cedar Village Assisted Living LLC was last updated on July 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.