PREMIER OPERATING FOUNTAIN PARK LLC NPI 1073409165

NPI Information

  • NPI: 1073409165
  • Provider Name: PREMIER OPERATING FOUNTAIN PARK, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1391 N MAIN ST
    BRYAN, OH
    ZIP 43506
  • Phone: (419) 633-9191

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NPI Details

PREMIER OPERATING FOUNTAIN PARK, LLC is an assisted living facility in Bryan, 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. PREMIER OPERATING FOUNTAIN PARK, LLC NPI is 1073409165. The provider is registered as an organization entity type.

The provider's business location address is:

1391 N MAIN ST
BRYAN, OH
ZIP 43506-057
Phone: (419) 633-9191
Fax: (419) 633-9192

The provider's authorized official is Wayne Kaplan .
The authorized official title is Owner and has the following contact phone number (516) 359-1066.

The enumeration date for this NPI number is 6/16/2025 and was last updated on 2/20/2026.

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

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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