NPIMap

Organization Active NPI

Premier Operating Ohio, LLC

  • Assisted Living Facility
  • Bryan, OH
National Provider Identifier
1225339997
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PREMIER OPERATING OHIO, LLC
Practice address
1391 N Main St
Bryan, OH 43506-1057
Phone
(419) 633-4315
Fax
(419) 636-7287
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Robert P. Borsody
Title
Manager
Phone
(212) 841-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1391 N Main St
Bryan, OH 43506-1057

Mailing address

666 5TH Ave
28TH Floor
New York, NY 10103-0001

National Provider Directory

National Provider Directory
Tax ID family
Premier Operating Ohio LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

666 5th Ave
Fl 28
New York, NY 10103

1391 N Main St
Bryan, OH 43506
Phone (419) 633-4315

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1225339997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 5TH AVE",
            "address_2": "28TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101030001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 N MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061057",
            "telephone_number": "419-633-4315",
            "fax_number": "419-636-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OPERATING OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "BORSODY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-841-0566"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.