Avalon by Otterbein Atrium – Skilled Nursing Facility, NPI 1174795793

Avalon by Otterbein Atrium is a healthcare provider. based in Franklin, Ohio. specializing in Skilled Nursing Facility. The organization holds a License No. 2536N (OH). The NPI Number for Avalon by Otterbein Atrium is 1174795793

Main info

Organization
Name
Avalon by Otterbein Atrium
NPI
1174795793
Phone
(513) 727-4590
Address
105 ATRIUM DRIVE
Authorized Official
JAMES CHRIS GREEN TREASURER & CFO CPA
Enumeration Date
25 March 2008
Last Update Date
9 February 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Avalon by Otterbein Atrium

  • Atrium Drive, Franklin Township, Somerset County, New Jersey, 08873-1362, United States

    FRANKLIN, OH 450052584

    Phone: (513) 727-4590

    Fax: (513) 727-4591

    Type: Location

  • 580 NORTH STATE 741

    LEBANON, OH 450368839

    Phone: (513) 933-5401

    Fax: (513) 932-1054

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090107000422OSkilled Nursing FacilityOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45005)

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Reviews

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Frequently asked questions

How do I look up Avalon by Otterbein Atrium by NPI?
Use NPI 1174795793 when you need to reference Avalon by Otterbein Atrium in forms, claims, or directories.
Is Avalon by Otterbein Atrium's NPI currently valid?
The extract we use shows Avalon by Otterbein Atrium as active.
What kind of provider is Avalon by Otterbein Atrium?
The page reflects Skilled Nursing Facility for Avalon by Otterbein Atrium. Clinical services aligned with this taxonomy classification.
Does Avalon by Otterbein Atrium practice in Ohio?
You will see Franklin, Ohio on file for Avalon by Otterbein Atrium alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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