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DEDICATED SENIOR MEDICAL CENTER GLENCROSSING WAY
NPI 1215566658
Non-Pharmacy Dispensing Site in Cincinnati, OH

Active since April 07, 2020CLIA 36D2188013 · Waiver
5050 GLENCROSSING WAY, CINCINNATI, OH 45238(513) 813-4311 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, Apr 7, 2020 (2 updates tracked since 2020).

About Dedicated Senior Medical Center Glencrossing Way NPPES

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

DEDICATED SENIOR MEDICAL CENTER GLENCROSSING WAY (NPI 1215566658) is a healthcare organization registered as a non-pharmacy dispensing site in Cincinnati, Ohio and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1215566658
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED OHIO HOLDING, LLC
Location Address5050 GLENCROSSING WAYCincinnati, OH 45238-3360
Mailing Address1395 Nw 167th StMiami, FL 33169-5710 · (305) 628-6117
Phone(513) 813-4311
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 831-4722
Enumeration DateApril 7, 2020
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1215566658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5050 GLENCROSSING WAY, Cincinnati, OH 45238
Open in Google Maps ↗

Other Names 1

Doing Business AsDedicated Senior Medical Center Glencrossing Way

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 36D2188013

Dedicated Senior Medical Center Glencrossing Way · Cincinnati, OH
Active · expires Jul 9, 2028
CLIA Number36D2188013
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorGordon Chen
Laboratory Phone(305) 842-3910
Laboratory LocationDedicated Senior Medical Center Glencrossing Way5050 Glencrossing Way, Cincinnati, OH 45238
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 4

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

TERESA ANN RODEHEFFER MD
Family Medicine
5050 GLENCROSSING WAY
CINCINNATI, OH 45238
Hamilton County (513) 813-4311
PRINCE APPIAH KUBI MD
Internal Medicine
5050 GLENCROSSING WAY
CINCINNATI, OH 45238
Hamilton County (513) 813-4311
MS. TRACY LYNETTE RICHARDSON NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
5050 GLENCROSSING WAY
CINCINNATI, OH 45238
Hamilton County (513) 813-4311
MRS. LISA A ROBINETTE AGNP-C
Nurse Practitioner (Gerontology)
5050 GLENCROSSING WAY
CINCINNATI, OH 45238
Hamilton County (513) 813-4311

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 Dedicated Ohio Holding, LLC's NPI number?

The NPI number for Dedicated Ohio Holding, LLC is 1215566658. It was assigned to this organization in the NPPES registry on April 7, 2020. The provider is doing business as Dedicated Senior Medical Center Glencrossing Way.

Where is Dedicated Ohio Holding, LLC located?

Dedicated Ohio Holding, LLC is located at 5050 Glencrossing Way, Cincinnati, OH 45238. The listed phone number is (513) 813-4311.

What is Dedicated Ohio Holding, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Dedicated Ohio Holding, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2188013) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dedicated Ohio Holding, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Dedicated Ohio Holding, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dedicated Ohio Holding, LLC was last updated on October 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.