Organization Active NPI

Ahr Cleveland TRS Sub, LLC

  • Assisted Living Facility
  • Cleveland, MS
National Provider Identifier
1386305258
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AHR CLEVELAND TRS SUB, LLC
Practice address
800 3Rd St
Cleveland, MS 38732-2305
Phone
(662) 441-4122
NPI assigned
Jan 4, 2022
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Danny Prosky
Title
President
Phone
(949) 270-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

800 3Rd St
Cleveland, MS 38732-2305

Mailing address

18191 Von Karman Ave FL 3
Irvine, CA 92612-7102
Phone (949) 270-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1386305258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE FL 3",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127102",
            "telephone_number": "949-270-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 3RD ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322305",
            "telephone_number": "662-441-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHR CLEVELAND TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.