NPIMap

Organization Active NPI

Brookdale Senior Living Communities Inc

Doing business as Sterling House of Kokomo

  • Assisted Living Facility
  • Kokomo, IN
National Provider Identifier
1225373343
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12-011075-1 Issued in IN
Legal business name
BROOKDALE SENIOR LIVING COMMUNITIES INC
Doing business as
Sterling House of Kokomo
Practice address
3025 W Sycamore St
Kokomo, IN 46901-4176
Phone
(765) 456-1490
NPI assigned
Nov 29, 2012
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
John P Rijos
Title
Co-President/Coo
Phone
(312) 977-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12-011075-1 IN Primary

Addresses

Primary practice location

3025 W Sycamore St
Kokomo, IN 46901-4176

Mailing address

3025 W Sycamore St
Kokomo, IN 46901-4176
Phone (765) 456-1490

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FOROtherINMEDICAID WAIVER

Other names 1

  • Sterling House of Kokomo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sterling House of Rocky Mount248 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1225373343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014176",
            "telephone_number": "765-456-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014176",
            "telephone_number": "765-456-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE SENIOR LIVING COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "RIJOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-PRESIDENT/COO",
        "authorized_official_telephone_number": "312-977-3700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "12-011075-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "APPLIED FOR",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling House of Kokomo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.