OrganizationActive
Otterbein Lebanon
NPI 1164085577 · Assisted Living Facility · Lebanon, OH
Provider details
- NPI number
- 1164085577
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Otterbein Lebanon
- Organization subpart
- Yes
- Authorized official
- James Green, Treasurer & Cfo(513) 933-5418
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
585 North State Route 741
Lebanon, OH 45036-8839
Phone: (513) 933-5400
Street-level locationGet directions
Mailing address
580 North State Route 741
Lebanon, OH 45036-8839
Other names (DBA / former)
- Other name
- Otterbein Lebanon Assisted Living
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2019-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.