BROOKDALE SENIOR LIVING COMMUNITIES INC (NPI# 1336498351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336498351 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES INC |
| Other Organization Name | STERLING HOUSE OF FAIRFIELD |
| Practice Address |
2357 Mack Rd Fairfield OH 45014-8669 |
| Practice Telephone | 5139392500 |
| Practice Fax Number | 5139392533 |
| Mailing Telephone | 5139392500 |
| Mailing Fax Number | 5139392533 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | JOHN P RIJOS (CO-PRESIDENT/COO) |
| 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 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAID WAIVER | APPLIED FOR | 01 |
| Other Name | Type Code |
|---|---|
| Sterling House of Fairfield | 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 |
| 1689901563 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1119 Perry Dr Nw, Canton, OH 44708-3374 | 2009-11-12 |
| 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 |
| 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 |
2357 MACK RD |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-8669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467760249 | Meredith Lynn Wright | Physical Therapist | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2010-09-15 |
| 1700333168 | Fairfield Bg Opco LLC | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2016-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| 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 |
|---|---|---|---|---|
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
| 1336554203 | Front Range Assisted Living, Inc. | Assisted Living Facility | 615 5th Ave. North, Fairfield, MT 59436 | 2014-06-30 |
| 1154649556 | Fairfield Pavilion | Assisted Living Facility | 5251 Dixie Highway, Fairfield, OH 45014 | 2010-05-10 |
| 1730391947 | Sunnybrook Assisted Living, Inc. | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2007-05-03 |
| 1831232263 | Msh West Essex Operating LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2007-02-15 |
| 1346736675 | Welltower Opco Group LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2018-07-10 |
| 1700333168 | Fairfield Bg Opco LLC | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2016-09-02 |
| 1619365962 | Wc- Fairfield Ops, LLC | Assisted Living Facility | 315 Market Ave, Fairfield, IL 62837-2611 | 2015-01-08 |
| 1225337975 | Village Assisted Living LLC | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2011-03-21 |
| Find all providers in FAIRFIELD | ||||
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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.