Organization Active NPI

Jennings Center for Older Adults

  • Assisted Living Facility
  • Brecksville, OH
National Provider Identifier
1548865835
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JENNINGS CENTER FOR OLDER ADULTS
Practice address
8736 Brecksville Road
Brecksville, OH 44141
Phone
(216) 581-2900
Fax
(216) 581-9258
NPI assigned
Dec 3, 2020
Organization subpart
Yes
Parent organization
JENNINGS CENTER FOR OLDER ADULTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Matthew Bollin
Title
Chief Financial Officer
Phone
(216) 581-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8736 Brecksville Road
Brecksville, OH 44141

Mailing address

8736 Brecksville Road
Brecksville, OH 44141
Phone (216) 581-2900

Other names 1

  • Jennings at Brecksville Other name

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
36D2210775Jennings at Brecksville8736 Brecksville Road, Brecksville, OH 44141Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jennings Center for Older Adults3 organizations share this tax ID, including this one
Part of
Jennings Center for Older Adults

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1548865835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 BRECKSVILLE ROAD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "216-581-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 BRECKSVILLE ROAD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "216-581-2900",
            "fax_number": "216-581-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS CENTER FOR OLDER ADULTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNINGS CENTER FOR OLDER ADULTS",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "216-581-2900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings at Brecksville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.