BREWSTER PARKE ASSISTED LIVING NPI 1053183632

NPI Information

  • NPI: 1053183632
  • Provider Name: BREWSTER PARKE ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 360 WABASH AVE N
    BREWSTER, OH
    ZIP 44613
  • Phone: (330) 767-3451

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NPI Details

BREWSTER PARKE ASSISTED LIVING is an assisted living facility in Brewster, 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. BREWSTER PARKE ASSISTED LIVING NPI is 1053183632. The provider is registered as an organization entity type.

The provider's business location address is:

360 WABASH AVE N
BREWSTER, OH
ZIP 44613-042
Phone: (330) 767-3451

The provider's authorized official is Gina Tomczak .
The authorized official title is Cfo and has the following contact phone number (330) 767-7435.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 11/13/2024.

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
1310400000XAssisted Living FacilityYes

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
12784RMEDICAIDOHIO

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: 11/21/2025

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