Brookdale Place of Bath LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2181R Issued in OH

Legal business name

BROOKDALE PLACE OF BATH LLC

Doing business as

Brookdale Bath

Practice address

101 N Cleveland Massillon Rd
Akron, OH 44333-2422

Phone

(330) 666-7011

Fax

(330) 665-1493

NPI assigned

Feb 7, 2012

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

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

Authorized official

Name

Joanne K Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookdale Bath Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1639441686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332422",
            "telephone_number": "330-666-7011",
            "fax_number": "330-665-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N CLEVELAND MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332422",
            "telephone_number": "330-666-7011",
            "fax_number": "330-665-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE PLACE OF BATH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2012-02-07",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2181R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Bath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Selby Brokloff, D.D.S.
• Europe Bromsey
• Jacinta Kaye Bronner
• Michelle Carol Bronner
• Abby Brookbank, PHARMD
• Angela Nicole Brooks, LPCC
• Breeonie D Brooks
• Ciarra Brooks
• Cynthia Marie Brooks
• Etta C Brooks, LISW, LICDC

• Assisted Living Facility in Akron, OH
• Providers in Akron, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.