Organization Active NPI

Levy Gardens

  • Assisted Living Facility
  • Youngstown, OH
National Provider Identifier
1356468946
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RCF2153 Issued in OH
Legal business name
LEVY GARDENS
Practice address
584 Granada Ave
Youngstown, OH 44505-2422
Phone
(330) 746-3570
Fax
(330) 746-3781
NPI assigned
Mar 26, 2007
Organization subpart
Yes
Parent organization
YOUNGSTOWN AREA JEWISH FEDERATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
David John Stauffer
Title
Cfo
Phone
(330) 746-3251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RCF2153 OH Primary
Bus 347B00000X ATM2065 OH
Private Vehicle 347C00000X CD02UU OH

Addresses

Primary practice location

584 Granada Ave
Youngstown, OH 44505-2422

Mailing address

505 Gypsy LN
Youngstown, OH 44504-1314
Phone (330) 746-3570

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
36D2016090Levy Gardens584 Granada Avenue, Youngstown, OH 44505Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Heritage Manor4 organizations share this tax ID, including this one
Part of
Heritage Manor

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1356468946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041314",
            "telephone_number": "330-746-3570",
            "fax_number": "330-746-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 GRANADA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052422",
            "telephone_number": "330-746-3570",
            "fax_number": "330-746-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVY GARDENS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNGSTOWN AREA JEWISH FEDERATION",
        "enumeration_date": "2007-03-26",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-746-3251"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "RCF2153",
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "OH",
            "license": "ATM2065",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "CD02UU",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.