Defiance Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DEFIANCE AL, LLC

Doing business as

Trustwell Living at Kingsbury Place

Practice address

245 W Rosewood Ave
Defiance, OH 43512-3488

Phone

(419) 785-8041

NPI assigned

Oct 7, 2025

Last updated

Nov 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alida Raynor, RN

Title

Clinical Compliance Nurse

Phone

(206) 501-6732

Specialties & licenses 1

Addresses

Other names 1

• Trustwell Living at Kingsbury Place Doing business as

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "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": "2026-11-04",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "ALIDA",
        "authorized_official_title_or_position": "CLINICAL COMPLIANCE NURSE",
        "authorized_official_telephone_number": "206-501-6732",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trustwell Living at Kingsbury Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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. (U.S. Renal Care Defiance Dialysis)

• 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 Nov 4, 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.