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OTTERBEIN NORTH SHORE RETIREMENT COMMUNITY
NPI 1619112711
Assisted Living Facility in Lakeside Marblehead, OH

Active since December 04, 2008
9400 N SHORE BLVD, LAKESIDE MARBLEHEAD, OH 43440(419) 798-8203(419) 798-4662 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Otterbein North Shore Retirement Community NPPES

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

OTTERBEIN NORTH SHORE RETIREMENT COMMUNITY (NPI 1619112711) is a healthcare organization registered as an assisted living facility in Lakeside Marblehead, Ohio and active in the NPI registry since December 2008. The organization lists Rhonda A Nagel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619112711
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOTTERBEIN NORTH SHORE RETIREMENT COMMUNITY
Location Address9400 N SHORE BLVDLakeside Marblehead, OH 43440-1337
Mailing Address9400 N Shore BlvdLakeside Marblehead, OH 43440-1337 · (419) 798-8203 · Fax (419) 798-4662
Phone(419) 798-8203
Fax(419) 798-4662
Organization SubpartNo
Authorized OfficialRhonda A NagelExecutive Director · (419) 798-8203
Enumeration DateDecember 4, 2008
✔ NPI 1619112711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2057R
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.
9400 N SHORE BLVD, Lakeside Marblehead, OH 43440
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Other Identifiers 1

Medicaid2856913OH

Other Providers at the Same Location NPPES 3

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

ANDREA LYNN SARKA PTA
Physical Therapy Assistant
9400 N SHORE BLVD
LAKESIDE, OH 43440
Ottawa County (419) 798-8203
MISS KELLY LYNN WALTON PT
Physical Therapist
9400 N SHORE BLVD
LAKESIDE MARBLEHEAD, OH 43440
Ottawa County (419) 798-8203
MCKENZIE BROWNING PTA
Physical Therapy Assistant
9400 N SHORE BLVD
LAKESIDE MARBLEHEAD, OH 43440
Ottawa County (419) 798-8251

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 Otterbein North Shore Retirement Community's NPI number?

The NPI number for Otterbein North Shore Retirement Community is 1619112711. It was assigned to this organization in the NPPES registry on December 4, 2008.

Where is Otterbein North Shore Retirement Community located?

Otterbein North Shore Retirement Community is located at 9400 N Shore Blvd, Lakeside Marblehead, OH 43440. The listed phone number is (419) 798-8203.

What is Otterbein North Shore Retirement Community's specialty?

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

When was this NPI record last updated?

The NPPES record for Otterbein North Shore Retirement Community was last updated on December 4, 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.