Organization Active NPI

Athenian Assisted Living Center

  • Assisted Living Facility
  • North Royalton, OH
National Provider Identifier
1861490245
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
3060 Issued in OH
Legal business name
ATHENIAN ASSISTED LIVING CENTER
Practice address
12799 Doula LN
North Royalton, OH 44133-1020
Phone
(440) 877-1900
Fax
(440) 877-1905
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Doula Gaitanaros
Title
President
Phone
(330) 225-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3060 OH Primary

Addresses

Primary practice location

12799 Doula LN
North Royalton, OH 44133-1020

Mailing address

1026 Pearl Rd
Suite #5
Brunswick, OH 44212-2516
Phone (330) 225-8054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1861490245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 PEARL RD",
            "address_2": "SUITE #5",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122516",
            "telephone_number": "330-225-8054",
            "fax_number": "330-225-9094"
        },
        {
            "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": "440-877-1900",
            "fax_number": "440-877-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENIAN ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GAITANAROS",
        "authorized_official_first_name": "DOULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-225-8054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "3060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2008; 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.