Organization Active NPI

Perrysburg Assisted Living LLC

  • Assisted Living Facility
  • Perrysburg, OH
National Provider Identifier
1962317099
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PERRYSBURG ASSISTED LIVING LLC
Practice address
10542 Fremont Pike
Perrysburg, OH 43551-3385
Phone
(419) 874-1931
NPI assigned
Aug 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Paul Pruitt
Title
Ceo
Phone
(317) 288-4029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10542 Fremont Pike
Perrysburg, OH 43551-3385

Mailing address

10542 Fremont Pike
Perrysburg, OH 43551-3385
Phone (419) 874-1931

Other identifiers 1

IdentifierTypeStateIssuer
3038ROtherOHOHIO DEPARTMENT OF HEALTH

Other names 1

  • Majestic Care Commons at Perrysburg 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
36D2341906Perrysburg Assisted Living LLC10542 Fremont Pike, Perrysburg, OH 43551Certificate of waiverApr 9, 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": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1962317099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10542 FREMONT PIKE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513385",
            "telephone_number": "419-874-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10542 FREMONT PIKE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513385",
            "telephone_number": "419-874-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-288-4029"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF HEALTH",
            "identifier": "3038R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Care Commons at Perrysburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.