NPIMap

Organization Active NPI

Brethren Care Village, LLC

  • Assisted Living Facility
  • Ashland, OH
National Provider Identifier
1972109171
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRETHREN CARE VILLAGE, LLC
Practice address
2140 Center St
Ashland, OH 44805-4376
Phone
(419) 289-1585
Fax
(419) 289-0715
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mindy Scurlock
Title
Ceo
Phone
(419) 289-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2140 Center St
Ashland, OH 44805-4376

Mailing address

2140 Center St
Ashland, OH 44805-4376
Phone (419) 289-1585

National Provider Directory

National Provider Directory
Tax ID family
Brethren Care Village LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1972109171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054376",
            "telephone_number": "419-289-1585",
            "fax_number": "419-289-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054376",
            "telephone_number": "419-289-1585",
            "fax_number": "419-289-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETHREN CARE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "SCURLOCK",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-289-1585"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.