BROOKDALE SENIOR LIVING COMMUNITIES INC (NPI# 1710129887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710129887 |
| Entity Type | Organization |
| Organization Name | BROOKDALE SENIOR LIVING COMMUNITIES INC |
| Other Organization Name | STERLING HOUSE OF YOUNGSTOWN |
| Practice Address |
2300 Canfield Rd Youngstown OH 44511-2980 |
| Practice Telephone | 3307930085 |
| Practice Fax Number | 3307938591 |
| Mailing Telephone | 3307930085 |
| Mailing Fax Number | 3307938591 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | MR. 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 | 5433 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAID WAIVER | APPLIED FOR | 01 |
| Other Name | Type Code |
|---|---|
| Sterling House of Youngstown | 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 |
2300 CANFIELD RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44511-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891242251 | Youngstown Bg Opco LLC | Assisted Living Facility | 2300 Canfield Rd, Youngstown, OH 44511-2980 | 2016-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
| 1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
| 1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
| 1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
| 1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
| 1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
| Find all providers in zip 44511 | ||||
| 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 |
|---|---|---|---|---|
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1275739450 | Omni Manor, Inc. | Assisted Living Facility | 1353 Churchill Hubbard Rd, Youngstown, OH 44505-1380 | 2007-06-25 |
| 1205049160 | Omni Manor, Inc. | Assisted Living Facility | 3259 Vestal Rd, Youngstown, OH 44509-1062 | 2007-05-08 |
| 1770601833 | Victoria House Senior Living Center LLC | Assisted Living Facility | 5295 Ashley Cir, Youngstown, OH 44515-1160 | 2007-03-27 |
| 1255459434 | Schenley Management Inc. | Assisted Living Facility | 3150 S Schenley Ave, Youngstown, OH 44511-2862 | 2007-03-27 |
| 1356468946 | Levy Gardens | Assisted Living Facility | 584 Granada Ave, Youngstown, OH 44505-2422 | 2007-03-26 |
| 1851335145 | Sateri Home Inc & Subsidiaries | Assisted Living Facility | 960 Boardman Canfield Rd, Youngstown, OH 44512-4220 | 2006-06-16 |
| 1053308577 | Edj LLC | Assisted Living Facility | 461 S Canfield Niles Rd, Youngstown, OH 44515-4022 | 2005-09-30 |
| 1952965428 | Ohio Living Communities | Assisted Living Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2019-04-30 |
| 1710486014 | S Meridian Leasing Co., LLC | Assisted Living Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2018-02-02 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44511 |
Please comment or provide details below to improve the information on BROOKDALE SENIOR LIVING COMMUNITIES INC.
| 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.