Jennings Center for Older Adults

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JENNINGS CENTER FOR OLDER ADULTS

Practice address

10950 Pinegrove TRL
Chardon, OH 44024-8389

Phone

(440) 279-9400

NPI assigned

Mar 2, 2020

Organization subpart

Yes

Parent organization

JENNINGS CENTER FOR OLDER ADULTSAs reported in NPPES

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

Authorized official

Name

Mr. Matthew L. Bollin

Title

Cfo

Phone

(216) 581-2900

Specialties & licenses 1

Addresses

Other names 1

• Jennings at Notre Dame Village LLC Doing business as

Part of

Jennings Center for Older Adults

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1982238754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 PINEGROVE TRL",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248389",
            "telephone_number": "440-279-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 PINEGROVE TRL",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248389",
            "telephone_number": "440-279-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS CENTER FOR OLDER ADULTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNINGS CENTER FOR OLDER ADULTS",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-581-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings at Notre Dame Village LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Ashley Jaeck
• Merissa Jagucki
• Alexis James
• Lauren Ann Jarzembowski, DO
• Lauren Jeffries, LPC
• Patricia Jerme, RN
• Yongming Jia
• Jeongmin Jin
• Rebecca Joanis, LPC
• Molly Ann Johancen

• Assisted Living Facility in Chardon, OH
• Providers in Chardon, 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 2, 2020; 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.