Defiance Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DEFIANCE AL, LLC

Practice address

245 W Rosewood Ave
Defiance, OH 43512-3488

Phone

(419) 785-8041

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Jenna Poor

Title

Regional Director

Phone

(937) 638-3408

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1124993472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W ROSEWOOD AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435123488",
            "telephone_number": "419-785-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W ROSEWOOD AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435123488",
            "telephone_number": "419-785-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "POOR",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "937-638-3408"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "2111R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara C Davis
• Dashaun P Davis
• Elizabeth Ann Davis, M.D, MBA
• David Charles Deal, PHD
• Deep Roots Wellness, LLC
• Defiance Chiropractic Center, Inc.
• Defiance City School District
• Defiance County Board of DD
• Defiance County General Health District
• Defiance Dialysis Center, LTD.

• Assisted Living Facility in Defiance, OH
• Providers in Defiance, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.