OrganizationActive
Otterbein Perrysburg LLC
NPI 1003939786 · Skilled Nursing Facility · Perrysburg, OH
Provider details
- NPI number
- 1003939786
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Green, Treasurer & Cfo(513) 933-5418
- License
- 2480N (OH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3529 Rivers Edge Drive
Perrysburg, OH 43551
Phone: (419) 874-2428
Fax: (419) 872-8464
Street-level locationGet directions
Mailing address
580 N State Route 741
Lebanon, OH 45036-8839
Other names (DBA / former)
- Doing business as
- Avalon By Otterbein Perrysburg
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2015-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.