Ebs Sylvania LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EBS SYLVANIA LLC

Doing business as

Charter Senior Living of Oak Openings

Practice address

6805 Sylvania Ave
Sylvania, OH 43560-3683

Phone

(419) 882-0029

NPI assigned

Feb 25, 2025

Organization subpart

Yes

Parent organization

EBS SENIOR LIVING FUND LLCAs reported in NPPES

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

Authorized official

Name

Mr. Mark E. Brady E. Brady

Title

Manager

Phone

(937) 291-1223

Specialties & licenses 1

Addresses

Other names 1

• Charter Senior Living of Oak Openings 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

Ebs Sylvania LLC

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1669279907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 SYLVANIA AVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603683",
            "telephone_number": "419-882-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 SYLVANIA AVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603683",
            "telephone_number": "419-882-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBS SYLVANIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EBS SENIOR LIVING FUND LLC",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MARK E. BRADY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-291-1223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Senior Living of Oak Openings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Dura, RN
• Mohan Dutt, M.D.
• Kimberly Lauren Dye
• Kelsey Catherine Dyer, DPT
• Patrick Dyer, MD
• Cassidy Elise Eby, MD
• James Raymond Edinger Jr., MSN- CRNA
• Kristine Ruth Edwards, LPC, PC
• Maha Eidi
• Mera El Ramahi

• Assisted Living Facility in Sylvania, OH
• Providers in Sylvania, 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 Feb 25, 2025; 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.