DEDICATED SENIOR MEDICAL CENTER MT. AIRY
NPI 1407475643
Non-Pharmacy Dispensing Site in Cincinnati, OH

Active since April 08, 2020CLIA 36D2188009 · Waiver
6121 COLERAIN AVE, CINCINNATI, OH 45239(513) 354-2466 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dedicated Senior Medical Center Mt. Airy NPPES

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

DEDICATED SENIOR MEDICAL CENTER MT. AIRY (NPI 1407475643) 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, Owner, as its authorized official.

NPPES Registry Identity

NPI1407475643
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED OHIO HOLDING, LLC
Location Address6121 COLERAIN AVECincinnati, OH 45239
Mailing Address1395 Nw 167th StMiami, FL 33169-5710 · (305) 628-6117
Organization SubpartYes
Authorized OfficialMary ChenOwner · (305) 628-6117
Enumeration DateApril 8, 2020
Last NPPES UpdateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1407475643 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.)
6121 COLERAIN AVE, Cincinnati, OH 45239

Other Names 1

Doing Business AsDedicated Senior Medical Center Mt. Airy

Accepted 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 36D2188009

Dedicated Senior Medical Center Mt Airy · Cincinnati, OH
Active · expires Jul 9, 2028
CLIA Number36D2188009
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 Mt Airy6121 Colerain Avenue, Cincinnati, OH 45239
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 6

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

Internal Medicine
6121 COLERAIN AVE
CINCINNATI, OH 45239
Nurse Practitioner (Family)
6121 COLERAIN AVE
CINCINNATI, OH 45239
Family Medicine
6121 COLERAIN AVE
CINCINNATI, OH 45239
Nurse Practitioner
6121 COLERAIN AVE
CINCINNATI, OH 45239
Family Medicine
6121 COLERAIN AVE
CINCINNATI, OH 45239
Internal Medicine
6121 COLERAIN AVE
CINCINNATI, OH 45239

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 1407475643. It was assigned to this organization in the NPPES registry on April 8, 2020. The provider is doing business as Dedicated Senior Medical Center Mt. Airy.

Where is Dedicated Ohio Holding, LLC located?

Dedicated Ohio Holding, LLC is located at 6121 Colerain Ave, Cincinnati, OH 45239. The listed phone number is (513) 354-2466.

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 36D2188009) 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 32 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 April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.