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ASSISTED LIVING CONCEPTS INC NPI 1477740785


NPI Information

NPI: 1477740785
Provider Name: ASSISTED LIVING CONCEPTS INC

Doing Business As: KINGSBURY HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D2062382

Address:
245 NORTH ROSEWOOD AVENUE
DEFIANCE, OH
ZIP 43512
Phone: (419) 782-6324
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ASSISTED LIVING CONCEPTS INC is an assisted living facility in Defiance, 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. ASSISTED LIVING CONCEPTS INC NPI is 1477740785. The provider is registered as an organization entity type.
The provider Is Doing Business As Kingsbury House.

The provider's business location address is:

245 NORTH ROSEWOOD AVENUE
DEFIANCE, OH
ZIP 43512
Phone: (419) 782-6324
Fax: (419) 782-6607

The provider's authorized official is Walter A Levonowich .
The authorized official title is Vice President Controller and has the following contact phone number (262) 257-8888.

The CLIA number assigned to this NPI record is 36D2062382 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 10/1/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2111OHIOYes

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: 11/14/2023

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