Organization Active NPI

Poland Alf Operations LLC

Doing business as Poland Assisted Living

  • Assisted Living Facility
  • Poland, OH
National Provider Identifier
1508635095
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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)CodeLicenseStatePrimary
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 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
36D0948073Poland Alf Operations LLC335 West McKinley Way, Poland, OH 44514Certificate of waiverFeb 8, 2028

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.