NPIMap

Organization Active NPI

Brookdale Place at Kenwood LLC

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1801138557
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2143R Issued in OH
Legal business name
BROOKDALE PLACE AT KENWOOD LLC
Practice address
9090 Montgomery Rd
Cincinnati, OH 45242-7712
Phone
(513) 745-9292
NPI assigned
Mar 20, 2013
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
John P Rijos
Title
Co-President/Coo
Phone
(312) 977-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2143R OH Primary

Addresses

Primary practice location

9090 Montgomery Rd
Cincinnati, OH 45242-7712

Mailing address

9090 Montgomery Rd
Cincinnati, OH 45242-7712
Phone (513) 745-9292

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FOROtherOHMEDICAID WAIVER

Other names 1

  • Brookdale Place at Kenwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Finneytown3 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Other organizations with this tax ID 2

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

Locations

9090 Montgomery Rd
Cincinnati, OH 45242
Phone (513) 316-8312

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1801138557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427712",
            "telephone_number": "513-745-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427712",
            "telephone_number": "513-745-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE PLACE AT KENWOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "RIJOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-PRESIDENT/COO",
        "authorized_official_telephone_number": "312-977-3700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2143R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "APPLIED FOR",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Place at Kenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.