Active NPI
Poland Alf Operations LLC
Doing business as Poland Assisted Living
- Assisted Living Facility
- Poland, OH
National Provider Identifier
1508635095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- POLAND ALF OPERATIONS LLC
- Doing business as
- Poland Assisted Living
- Practice address
- 335 W McKinley Way
Poland, OH 44514-1681 - Phone
- (330) 707-1313
- NPI assigned
- Dec 26, 2023
- Last updated
- Dec 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Miller
- Title
- Managing Partner
- Phone
- (614) 425-4218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
335 W McKinley Way
Poland, OH 44514-1681
Mailing address
PO Box 42
Springfield, OH 45501-0042
Phone (614) 425-4218
Other names 1
- Poland Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0948073 | Poland Alf Operations LLC | Certificate of waiver | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1508635095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455010042",
"telephone_number": "614-425-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 W MCKINLEY WAY",
"city": "POLAND",
"state": "OH",
"postal_code": "445141681",
"telephone_number": "330-707-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLAND ALF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "614-425-4218"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Poland Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poland, OH
- Joseph Petrolla, PA-C
- Joseph Michael Petrolla
- Maria E Piersante, PA-C
- PM&R North, Inc.
- PM&R North, Inc. (All Points Physical Medicine)
- Poland Center for Sleep, LTD. (Delta Center for Sleep, Ltd.)
- Poland Chiropractic Clinic Inc
- Poland Chiropractic Clinic LLC
- Poland Eye and Laser Center, LLC
- Poland Family Chiropractic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.