Royalton Senior Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2009R Issued in OH

Legal business name

ROYALTON SENIOR LIVING, INC.

Doing business as

Royalton Woods

Practice address

14277 State Rd
North Royalton, OH 44133-5130

Phone

(440) 582-4111

Fax

(440) 230-2974

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

John M Coury

Title

Board Director

Phone

(440) 243-5668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royalton Woods Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1295912293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14277 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335130",
            "telephone_number": "440-582-4111",
            "fax_number": "440-230-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14277 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335130",
            "telephone_number": "440-582-4111",
            "fax_number": "440-230-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTON SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOARD DIRECTOR",
        "authorized_official_telephone_number": "440-243-5668"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2009R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2785973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royalton Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Rowlett, PHD
• Royalton Commons Assisted Living LLC
• Royalton Eye Professionals LLC
• Royalton Music Center
• Royalton Psychological Associates, LLC
• Daniel Joseph Rusek
• Stella Rusek
• Linda Theresa Ruzicka, L.P.N.
• Deanna Sabur
• Amy Saculla

• Assisted Living Facility in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.