Beavercreek Senior Living II LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BEAVERCREEK SENIOR LIVING II LLC

Practice address

800 Grayson LN
Beavercreek, OH 45430-1783

Phone

(317) 385-5818

NPI assigned

Nov 8, 2022

Organization subpart

No

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

Authorized official

Name

Kris Peters

Title

Director of Business Office & Waiv

Phone

(260) 452-4896

Specialties & licenses 1

Addresses

Other names 1

• Traditions at Beavercreek Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1891403929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401806",
            "telephone_number": "317-385-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAYSON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301783",
            "telephone_number": "317-385-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERCREEK SENIOR LIVING II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE & WAIV",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions at Beavercreek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions at Beavercreek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Beavercreek, OH
• Providers in Beavercreek, 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 May 7, 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.