Organization Active NPI

Sabra Midwest Operations X, LLC

  • Assisted Living Facility
  • Beavercreek, OH
National Provider Identifier
1124996285
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SABRA MIDWEST OPERATIONS X, LLC
Practice address
800 Grayson LN
Beavercreek, OH 45430-1783
Phone
(260) 452-4896
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Kris Peters
Title
Dir of Bus Office
Phone
(260) 452-4896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

800 Grayson LN
Beavercreek, OH 45430-1783

Mailing address

1781 Flight Way
Tustin, CA 92782-1838

National Provider Directory

National Provider Directory

Locations

1781 Flight Way
Tustin, CA 92782

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1124996285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 FLIGHT WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAYSON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301783",
            "telephone_number": "260-452-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRA MIDWEST OPERATIONS X, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIR OF BUS OFFICE",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.