Organization Active NPI

Grace Woods Senior Living of Salem, LLC

  • Assisted Living Facility
  • Salem, OH
National Provider Identifier
1255520730
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1993R Issued in OH
Legal business name
GRACE WOODS SENIOR LIVING OF SALEM, LLC
Practice address
1166 Benton Rd
Salem, OH 44460-7623
Phone
(330) 332-1104
Fax
(330) 337-1273
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Ms. Beth A Arundel
Title
Assistant Administrator
Phone
(330) 332-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1993R OH Primary

Addresses

Primary practice location

1166 Benton Rd
Salem, OH 44460-7623

Mailing address

1166 Benton Rd
Salem, OH 44460-7623
Phone (330) 332-1104

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2197343Grace Woods Senior Living of Salem1166 Benton Road, Salem, OH 44460Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

1166 Benton Rd
Salem, OH 44460
Phone (330) 332-1104

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1255520730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 BENTON RD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444607623",
            "telephone_number": "330-332-1104",
            "fax_number": "330-337-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 BENTON RD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444607623",
            "telephone_number": "330-332-1104",
            "fax_number": "330-337-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WOODS SENIOR LIVING OF SALEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ARUNDEL",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "330-332-1104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1993R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.