Organization Active NPI

Brookdale Place of Wooster, LLC

Doing business as Brookdale Wooster

  • Assisted Living Facility
  • Wooster, OH
National Provider Identifier
1366241796
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BROOKDALE PLACE OF WOOSTER, LLC
Doing business as
Brookdale Wooster
Practice address
1615 Cleveland Rd
Wooster, OH 44691-2335
Phone
(330) 262-1615
NPI assigned
Mar 10, 2025
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Anna F.C. Munoz
Title
Assistant Secretary
Phone
(414) 918-5443

Specialties & licenses 1

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

Addresses

Primary practice location

1615 Cleveland Rd
Wooster, OH 44691-2335

Mailing address

1615 Cleveland Rd
Wooster, OH 44691-2335
Phone (330) 262-1615

Other names 1

  • Brookdale Wooster Doing business as

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
36D2016982Brookdale Wooster1615 Cleveland Road, Wooster, OH 44691Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

1615 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-1615

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1366241796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912335",
            "telephone_number": "330-262-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912335",
            "telephone_number": "330-262-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE PLACE OF WOOSTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Wooster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.