1447232681 NPI number — MARTIN'S REST HOME, INC.

Table of content: CRISTOFER PETER SANTILLI DC (NPI 1497448427)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447232681 NPI number — MARTIN'S REST HOME, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARTIN'S REST HOME, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447232681
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 RODGERS PARK
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CYNTHIANA
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-234-2050
Provider Business Mailing Address Fax Number:
859-234-2014

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 RODGERS PARK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CYNTHIANA
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41031-9481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-234-2050
Provider Business Practice Location Address Fax Number:
859-234-2014
Provider Enumeration Date:
11/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WEHRLE
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
Authorized Official Title or Position:
ATTORNEY/CPA
Authorized Official Telephone Number:
859-226-2386

Provider Taxonomy Codes

  • Taxonomy code: 313M00000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12500583 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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