Active NPI
Royalton Commons Assisted Living LLC
Doing business as Royalton Reserve
- Assisted Living Facility
- North Royalton, OH
National Provider Identifier
1790518686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ROYALTON COMMONS ASSISTED LIVING LLC
- Doing business as
- Royalton Reserve
- Practice address
- 12799 Doula LN
North Royalton, OH 44133-1020 - Phone
- (216) 215-7075
- NPI assigned
- Aug 26, 2024
- 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
- Mr. Melvin Eugene Woodward Jr.
- Title
- MGT Co
- Phone
- (828) 381-4923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
12799 Doula LN
North Royalton, OH 44133-1020
Mailing address
PO Box 2663
Hickory, NC 28603-2663
Phone (216) 215-7075
Other names 1
- Royalton Reserve
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 |
|---|---|---|---|
| 36D2344914 | Royalton Reserve | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1790518686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2663",
"city": "HICKORY",
"state": "NC",
"postal_code": "286032663",
"telephone_number": "216-215-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12799 DOULA LN",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441331020",
"telephone_number": "216-215-7075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYALTON COMMONS ASSISTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "WOODWARD",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "MGT CO",
"authorized_official_telephone_number": "828-381-4923",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royalton Reserve",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Royalton, OH
- Ronald E. Ludrosky B.S., D.C., Inc. (Chiropractic Health Center of North Royalton)
- Karen Ross, RN
- Rita Marie Roth
- Jason Rowland
- Richard Rowlett, PHD
- Royalton Eye Professionals LLC
- Royalton Music Center
- Royalton Psychological Associates, LLC
- Royalton Senior Living, Inc. (Royalton Woods)
- Daniel Joseph Rusek
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.