NPIMap

Organization Active NPI

Brookdale Senior Living Communities Inc

  • Assisted Living Facility
  • Dayton, OH
National Provider Identifier
1992006985
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2196R Issued in OH
Legal business name
BROOKDALE SENIOR LIVING COMMUNITIES INC
Practice address
3839 Indian Ripple Rd
Dayton, OH 45440-3468
Phone
(937) 431-0455
Fax
(937) 431-0435
NPI assigned
Nov 8, 2010
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Mr. John P Rijos
Title
Co-President/Coo
Phone
(312) 977-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2196R OH Primary

Addresses

Primary practice location

3839 Indian Ripple Rd
Dayton, OH 45440-3468

Mailing address

3839 Indian Ripple Rd
Dayton, OH 45440-3468
Phone (937) 431-0455

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FOROtherOHMEDICAID WAIVER

Other names 1

  • Sterling House Beavercreek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Senior Living Communties Inc248 organizations share this tax ID, including this one
Part of
Brookdale Senior Living Inc

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1992006985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 INDIAN RIPPLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403468",
            "telephone_number": "937-431-0455",
            "fax_number": "937-431-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 INDIAN RIPPLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403468",
            "telephone_number": "937-431-0455",
            "fax_number": "937-431-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE SENIOR LIVING COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "RIJOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-PRESIDENT/COO",
        "authorized_official_telephone_number": "312-977-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2196R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "APPLIED FOR",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling House Beavercreek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.