VILLA GEORGETOWN
NPI 1184612707
Skilled Nursing Facility in Georgetown, OH

Active since October 07, 2005CLIA 36D0345458 · Waiver
8065 DR FAUL RD, GEORGETOWN, OH 45121(937) 378-4178(937) 378-3107 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Villa Georgetown NPPES

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

VILLA GEORGETOWN (NPI 1184612707) is a healthcare organization registered as a skilled nursing facility in Georgetown, Ohio and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Carol A Sparks, Director Ot Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1184612707
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT CARE OHIO, INC
Location Address8065 DR FAUL RDGeorgetown, OH 45121-8811
Mailing Address8065 Dr Faul RdGeorgetown, OH 45121-8811 · (937) 378-4178 · Fax (937) 378-3107
Fax(937) 378-3107
Organization SubpartNo
Authorized OfficialCarol A SparksDirector Ot Reimbursement · (949) 349-1200
Enumeration DateOctober 7, 2005
Last NPPES UpdateOctober 28, 2008
NPI 1184612707 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 · 5494
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.
8065 DR FAUL RD, Georgetown, OH 45121

Other Names 1

Doing Business AsVilla Georgetown

Other Identifiers 2

Medicaid2056340OH
Medicare OSCAR/certification365786

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 36D0345458

Villa Georgetown · Georgetown, OH
Active · expires Aug 31, 2026
CLIA Number36D0345458
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJennifer Moffett
Laboratory Phone(513) 378-4178
Laboratory LocationVilla Georgetown8065 Dr Faul Rd, Georgetown, OH 45121
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
8065 DR FAUL RD
GEORGETOWN, OH 45121
Skilled Nursing Facility
8065 DR FAUL RD
GEORGETOWN, OH 45121

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 Covenant Care Ohio, Inc's NPI number?

The NPI number for Covenant Care Ohio, Inc is 1184612707. It was assigned to this organization in the NPPES registry on October 7, 2005. The provider is doing business as Villa Georgetown.

Where is Covenant Care Ohio, Inc located?

Covenant Care Ohio, Inc is located at 8065 Dr Faul Rd, Georgetown, OH 45121. The listed phone number is (937) 378-4178.

What is Covenant Care Ohio, Inc's specialty?

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

Does Covenant Care Ohio, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0345458) 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 Covenant Care Ohio, Inc was last updated on October 28, 2008. 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.