Organization Active NPI

Royalton Commons Assisted Living LLC

Doing business as Royalton Reserve

  • Assisted Living Facility
  • North Royalton, OH
National Provider Identifier
1790518686
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 26, 2024

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)CodeLicenseStatePrimary
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 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
36D2344914Royalton Reserve12799 Doula Lane, North Royalton, OH 44133Certificate of waiverJun 1, 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": "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

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.

Verify at the official NPI Registry.