Organization Active NPI

Austinwoods Nursing Center Inc

  • Assisted Living Facility
  • Austintown, OH
National Provider Identifier
1093479784
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AUSTINWOODS NURSING CENTER INC
Practice address
4780 Kirk Rd
Austintown, OH 44515-5403
Phone
(330) 792-7681
Fax
(330) 792-7681
NPI assigned
Oct 28, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AUSTINWOODS NURSING CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Antalocy
Title
VP/Cfo
Phone
(330) 792-7681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4780 Kirk Rd
Austintown, OH 44515-5403

Mailing address

4780 Kirk Rd
Austintown, OH 44515-5403
Phone (330) 792-7681

Other names 1

  • AustinWoods Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Austinwoods Nursing Center Inc3 organizations share this tax ID, including this one
Part of
Austinwoods Nursing Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1093479784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 KIRK RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155403",
            "telephone_number": "330-792-7681",
            "fax_number": "330-792-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 KIRK RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155403",
            "telephone_number": "330-792-7681",
            "fax_number": "330-792-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTINWOODS NURSING CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUSTINWOODS NURSING CENTER INC",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ANTALOCY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "330-792-7681"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AustinWoods Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.