PRISTINE SENIOR LIVING OF ENGLEWOOD, LLC
NPI 1366827941
Skilled Nursing Facility in Englewood, OH

Active since July 24, 2015
425 LAURICELLA COURT, ENGLEWOOD, OH 45322(937) 836-5143 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pristine Senior Living Of Englewood, Llc NPPES

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

PRISTINE SENIOR LIVING OF ENGLEWOOD, LLC (NPI 1366827941) is a healthcare organization registered as a skilled nursing facility in Englewood, Ohio and active in the NPI registry since July 2015. The organization lists Christopher T Cook, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366827941
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRISTINE SENIOR LIVING OF ENGLEWOOD, LLC
Location Address425 LAURICELLA COURTEnglewood, OH 45322-0340
Mailing Address3301 W Purdue AveMuncie, IN 47304-6356 · (317) 408-8491
Organization SubpartNo
Authorized OfficialChristopher T CookChief Executive Officer · (317) 408-8491
Enumeration DateJuly 24, 2015
NPI 1366827941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

425 LAURICELLA COURT, Englewood, OH 45322

Other Identifiers 2

Medicaid2170163OH
Medicare OSCAR/certification365088OH

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
425 LAURICELLA COURT
ENGLEWOOD, OH 45322

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 Pristine Senior Living Of Englewood, LLC's NPI number?

The NPI number for Pristine Senior Living Of Englewood, LLC is 1366827941. It was assigned to this organization in the NPPES registry on July 24, 2015.

Where is Pristine Senior Living Of Englewood, LLC located?

Pristine Senior Living Of Englewood, LLC is located at 425 Lauricella Court, Englewood, OH 45322. The listed phone number is (937) 836-5143.

What is Pristine Senior Living Of Englewood, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pristine Senior Living Of Englewood, LLC was last updated on July 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.