NPIMap

Organization Active NPI

CHI Living Communities

Doing business as St. Clare Commons

  • Skilled Nursing Facility
  • Perrysburg, OH
National Provider Identifier
1396108973
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2638A Issued in OH
Legal business name
CHI LIVING COMMUNITIES
Doing business as
St. Clare Commons
Practice address
12469 Five Point Rd
Perrysburg, OH 43551-9615
Phone
(419) 931-0050
NPI assigned
Apr 1, 2016
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Wendy Dolyk
Title
Vice President of Operations
Phone
(567) 455-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2638A OH Primary

Addresses

Primary practice location

12469 Five Point Rd
Perrysburg, OH 43551-9615

Mailing address

12469 Five Point Rd
Perrysburg, OH 43551-9615

Other names 1

  • St. Clare Commons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHI Living Communties19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1396108973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12469 FIVE POINT RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12469 FIVE POINT RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519615",
            "telephone_number": "419-931-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI LIVING COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "DOLYK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "567-455-0414"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2638A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Clare Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.