Avalon by Otterbein Monclova – Skilled Nursing Facility, NPI 1801919584

Avalon by Otterbein Monclova is a healthcare provider. based in Lebanon, Ohio. specializing in Skilled Nursing Facility. The organization holds a License No. 2503N (OH). The NPI Number for Avalon by Otterbein Monclova is 1801919584

Main info

Organization
Name
Avalon by Otterbein Monclova
NPI
1801919584
Phone
(513) 933-5401
Address
580 N STATE ROUTE 741
Authorized Official
JAMES CHRIS GREEN TREASURER & CFO CPA
Enumeration Date
9 April 2007
Last Update Date
9 February 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Avalon by Otterbein Monclova

  • 580 N STATE ROUTE 741

    LEBANON, OH 450368839

    Phone: (513) 933-5401

    Fax: (513) 932-1054

    Type: Mailing

  • 5069 OTTERBEIN WAY

    MONCLOVA, OH 43542

    Phone: (419) 878-0550

    Fax: (419) 878-3169

    Type: Location

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: 2008-04-08

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
O20080408000228OSkilled 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 45036)

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Reviews

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Frequently asked questions

Is Avalon by Otterbein Monclova listed with a National Provider Identifier?
Yes — Avalon by Otterbein Monclova has NPI 1801919584 on file in the registry.
Would Avalon by Otterbein Monclova appear as active to a payer?
You can treat Avalon by Otterbein Monclova as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with Avalon by Otterbein Monclova?
Avalon by Otterbein Monclova's record emphasizes Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Avalon by Otterbein Monclova?
Travel planning: use Lebanon, Ohio as the reference point for Avalon by Otterbein Monclova, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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