BROWNING MASONIC COMMUNITY NPI 1073779161

NPI Information

NPI: 1073779161
Provider Name: BROWNING MASONIC COMMUNITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D2209382

Address:
8883 BROWNING DR
WATERVILLE, OH
ZIP 43566
Phone: (419) 878-1808
Get Directions

BROWNING MASONIC COMMUNITY is an assisted living facility in Waterville, OH. The provider is 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. BROWNING MASONIC COMMUNITY NPI is 1073779161. The provider is registered as an organization entity type.

The provider's business location address is:

8883 BROWNING DR
WATERVILLE, OH
ZIP 43566-757
Phone: (419) 878-1808

The provider's authorized official is David Subleski .
The authorized official title is Administrator and has the following contact phone number (419) 878-1808.

The CLIA number assigned to this NPI record is 36D2209382 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 7/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		6051	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2807823	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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