BCC Ontario Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2205R Issued in OH

Legal business name

BCC ONTARIO OPERATIONS LLC

Doing business as

Elmcroft of Ontario

Practice address

2010 Walker Lake Rd
Mansfield, OH 44906-1412

Phone

(419) 747-1119

Fax

(419) 747-4887

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William P Mulloy II

Title

Ceo

Phone

(502) 753-6000

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Ontario Doing business as

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1861633547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WALKER LAKE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061412",
            "telephone_number": "419-747-1119",
            "fax_number": "419-747-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC ONTARIO OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MULLOY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-753-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2205R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Ontario",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Jakob Baumann, D.D.S.
• Matt Bautz
• Racheal E Baxter, R.N.
• Brittany Bayer, CNP
• Yohannes Bayissa, M.D.
• Allison Beattie, CNP
• Johnathan Lowell Beauchamp, O.D.
• Toni Jo Beauford, RN
• Danielle Nicole Bechtel, LPN
• Lani Becker

• Assisted Living Facility in Mansfield, OH
• Providers in Mansfield, 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 Mar 10, 2009; 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.