Kingston Of Miamisburg – Skilled Nursing Facility, NPI 1972590115

Kingston Of Miamisburg is a healthcare provider. based in Toledo, Ohio. specializing in Skilled Nursing Facility. The organization holds a License No. 1613N (OH). The NPI Number for Kingston Of Miamisburg is 1972590115

Main info

Organization
Name
Kingston Of Miamisburg
NPI
1972590115
Phone
(419) 247-2880
Address
PO BOX 2165
Authorized Official
MR. LARRY NIRSCHL TREASURER
Enumeration Date
3 October 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Kingston Of Miamisburg

  • Toledo Post Office, West High Street, Toledo, Tama County, Iowa, 52342, United States

    TOLEDO, OH 436032165

    Phone: (419) 247-2880

    Fax: (419) 247-2872

    Type: Mailing

  • 1120, Dunaway Street, Miamisburg, Montgomery County, Ohio, 45342, United States

    MIAMISBURG, OH 453423839

    Phone: (937) 866-9089

    Fax: (937) 866-6907

    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: 2009-06-09

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
O20090609000434OSkilled 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 43603)

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Reviews

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Frequently asked questions

How do I look up Kingston Of Miamisburg by NPI?
Use NPI 1972590115 when you need to reference Kingston Of Miamisburg in forms, claims, or directories.
Is Kingston Of Miamisburg active in the national directory?
Kingston Of Miamisburg's public NPI profile is in an active state.
Does Kingston Of Miamisburg list a primary specialty?
If you are matching referrals, note Skilled Nursing Facility for Kingston Of Miamisburg. Clinical services aligned with this taxonomy classification.
Does Kingston Of Miamisburg practice in Ohio?
You will see Toledo, Ohio on file for Kingston Of Miamisburg alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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