BROOKDALE SENIOR LIVING COMMUNITIES INC (NPI# 1689901563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689901563 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES INC |
| Other Organization Name | STERLING HOUSE OF CANTON |
| Practice Address |
1119 Perry Dr Nw Canton OH 44708-3374 |
| Practice Telephone | 3304791121 |
| Practice Fax Number | 3304791756 |
| Mailing Telephone | 3304791121 |
| Mailing Fax Number | 3304791756 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | JOHN P RIJOS (CO-PRESIDENT) |
| Authorized Official Telephone | 3129773700 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOKDALE SENIOR LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2197R | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAID WAIVER | APPLIED FOR | 01 |
| Other Name | Type Code |
|---|---|
| Sterling House of Canton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320369 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 11320 Springfield Pike, Springdale, OH 45246-4200 | 2013-03-21 |
| 1992006985 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 3839 Indian Ripple Rd, Dayton, OH 45440-3468 | 2010-11-08 |
| 1366764227 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1401 N Broadway St, Greenville, OH 45331-4300 | 2010-02-19 |
| 1760615967 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1277 S Sawburg Ave, Alliance, OH 44601-5750 | 2009-09-03 |
| 1023241825 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1005 Paul Pkwy Ne, Blaine, MN 55434-3926 | 2009-08-26 |
| 1386873669 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2452 W Kem Rd, Marion, IN 46952-6872 | 2009-07-08 |
| 1093959777 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 350 Union Road, Englewood, OH 45322-2196 | 2009-04-27 |
| 1851535868 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1841 Middle Bellville Rd, Mansfield, OH 44904-1798 | 2009-04-22 |
| 1700028875 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1744 W High St, Piqua, OH 45356-8332 | 2009-04-03 |
| 1710129887 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2300 Canfield Rd, Youngstown, OH 44511-2980 | 2009-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Brookdale Senior Living Communities Inc. | 111 Westwood Pl Ste 400, Brentwood, Tennessee 37027-5057 |
| Street Address |
1119 PERRY DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100412 | Forever Harmony PCh Inc | Assisted Living Facility | 205 Providence Walk Ct, Canton, GA 30114-8622 | 2020-09-28 |
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1578118451 | Embrace Group Home LLC | Assisted Living Facility | 6934 N Canton Center Rd, Canton, MI 48187-1647 | 2019-08-07 |
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1831626266 | Stone Crossing Assisted Living, LLC | Assisted Living Facility | 820 34th St Nw, Canton, OH 44709-2966 | 2017-05-16 |
| 1922533736 | C&y Homes, Inc. | Assisted Living Facility | 3616 Rolling Ridge Rd Ne, Canton, OH 44721-3029 | 2017-04-30 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1164689766 | Ann Davis Rest Home | Assisted Living Facility | 460 Beaverdam St, Canton, NC 28716 | 2008-05-21 |
| 1932383973 | Petersen Health Care, Inc. | Assisted Living Facility | 160 East Walnut Street, Canton, IL 61520-2708 | 2007-12-27 |
| 1477749976 | Cathedral Assisted Living, LLC | Assisted Living Facility | 3927 38th St Nw, Canton, OH 44718 | 2007-09-18 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.