Assisted Living Concepts Inc
Organization Active NPI Assisted Living Facility · Lower Burrell, PA
NPI 1063609352 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1063609352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 003420 (PA)
- Legal business name
- ASSISTED LIVING CONCEPTS INC
- Practice address
- 101 Little Road
Lower Burrell, PA 15068 - Phone
- (724) 339-7626
- Fax
- (724) 339-7727
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Walter A Levonowich
- Title
- Vice President Controller
- Phone
- (262) 257-8888
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Assisted Living Concepts Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 003420 | PA | Yes |
Addresses
Primary practice location
101 Little Road
Lower Burrell, PA 15068
Mailing address
W140 N8981 Lilly Road
Attn Legal Department
Menomonee Falls, WI 53051-2325
Phone (262) 257-8888
Other names
- Bayberry Court
NPI Registry JSON
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1063609352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W140 N8981 LILLY ROAD",
"address_2": "ATTN LEGAL DEPARTMENT",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512325",
"telephone_number": "262-257-8888",
"fax_number": "262-251-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LITTLE ROAD",
"city": "LOWER BURRELL",
"state": "PA",
"postal_code": "15068",
"telephone_number": "724-339-7626",
"fax_number": "724-339-7727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED LIVING CONCEPTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "LEVONOWICH",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT CONTROLLER",
"authorized_official_telephone_number": "262-257-8888"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "003420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bayberry Court",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Lower Burrell, PA · Assisted Living Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.