THE LODGE RETIREMENT COMMUNITY
NPI 1811033756
Assisted Living Facility in Cincinnati, OH

Q: What is The Lodge Retirement Community's NPI number?

The NPI number for The Lodge Retirement Community is 1811033756. It was assigned to this organization in the NPPES registry on January 29, 2007.

Q: What is The Lodge Retirement Community's specialty?

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

Active since January 29, 2007CLIA 36D2196187 · Waiver

12050 MONTGOMERY RD, CINCINNATI, OH 45249(513) 683-9966(513) 583-3295 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Lodge Retirement Community NPPES

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

THE LODGE RETIREMENT COMMUNITY (NPI 1811033756) is a healthcare organization registered as an assisted living facility in Cincinnati, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Tawnya W. Sullivan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811033756

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE LODGE RETIREMENT COMMUNITY

Location Address12050 MONTGOMERY RDCincinnati, OH 45249-2003

Mailing Address12050 Montgomery RdCincinnati, OH 45249-2003 · (513) 683-9966 · Fax (513) 583-3295

Phone(513) 683-9966

Fax(513) 583-3295

Organization SubpartNo

Authorized OfficialTawnya W. SullivanAdministrator · (513) 583-3291

Enumeration DateJanuary 29, 2007

Last NPPES UpdateOctober 13, 2009

✔ NPI 1811033756 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 · 6378

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.

12050 MONTGOMERY RD, Cincinnati, OH 45249

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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 36D2196187

The Lodge Retirement Community · Cincinnati, OH

Active · expires Oct 14, 2026

CLIA Number36D2196187

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 15, 2024

Certificate Expiration DateOctober 14, 2026

Laboratory DirectorShaun Wittrock

Laboratory Phone(513) 683-9966

Laboratory LocationThe Lodge Retirement Community12050 Montgomery Road, Cincinnati, OH 45249

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BRENT JOSEPH BARNES PTA

Physical Therapy Assistant

12050 MONTGOMERY RD
CINCINNATI, OH 45249

Hamilton County (513) 683-9966

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 The Lodge Retirement Community's NPI number?

The NPI number for The Lodge Retirement Community is 1811033756. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is The Lodge Retirement Community located?

The Lodge Retirement Community is located at 12050 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 683-9966.

What is The Lodge Retirement Community's specialty?

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

Does The Lodge Retirement Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2196187) is associated with this NPI, valid through October 14, 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 The Lodge Retirement Community was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.