ASSISTED LIVING CONCEPTS INC NPI 1629265939

NPI Information

  • NPI: 1629265939
  • Provider Name: ASSISTED LIVING CONCEPTS INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PORTLAND HOUSE
  • CLIA Number: 36D2068380
  • Address: 3808 VENICE ROAD
    SANDUSKY, OH
    ZIP 44870
  • Phone: (419) 624-1090

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NPI Details

ASSISTED LIVING CONCEPTS INC is an assisted living facility in Sandusky, 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 1629265939. The provider is registered as an organization entity type.
The provider Is Doing Business As Portland House.

The provider's business location address is:

3808 VENICE ROAD
SANDUSKY, OH
ZIP 44870
Phone: (419) 624-1090
Fax: (419) 624-1117

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 36D2068380 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility5515OHIOYes

What is NPI?

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This page was last updated on: 11/21/2025

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