NPIMap

Organization Active NPI

Ohio Living Communities

Doing business as Ohio Living Breckenridge Village

  • Assisted Living Facility
  • Willoughby, OH
National Provider Identifier
1184288649
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OHIO LIVING COMMUNITIES
Doing business as
Ohio Living Breckenridge Village
Practice address
36855 Ridge Rd
Willoughby, OH 44094-4128
Phone
(440) 942-4342
Fax
(440) 942-4150
NPI assigned
Apr 30, 2019
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO LIVING COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Robert B Stillman
Title
Cfo
Phone
(614) 888-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

36855 Ridge Rd
Willoughby, OH 44094-4128

Mailing address

9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (614) 888-7800

Other identifiers 1

IdentifierTypeStateIssuer
2938254MedicaidOH

Other names 1

  • Ohio Living Breckenridge Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockynol Retirement Community20 organizations share this tax ID, including this one
Part of
Rockynol Retirement Community

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1184288649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WORTHINGTON RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827240",
            "telephone_number": "614-888-7800",
            "fax_number": "614-888-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 RIDGE RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944128",
            "telephone_number": "440-942-4342",
            "fax_number": "440-942-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO LIVING COMMUNITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO LIVING COMMUNITIES",
        "enumeration_date": "2019-04-30",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2938254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Living Breckenridge Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.