BROOKDALE PLACE OF KENWOOD LLC NPI 1962849208

NPI Information

NPI: 1962849208
Provider Name: BROOKDALE PLACE OF KENWOOD LLC

Doing Business As: BROOKDALE KENWOOD

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

Address:
9090 MONTGOMERY RD
CINCINNATI, OH
ZIP 45242
Phone: (513) 745-9292
Get Directions

BROOKDALE PLACE OF KENWOOD LLC is an assisted living facility in Cincinnati, 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. BROOKDALE PLACE OF KENWOOD LLC NPI is 1962849208. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Kenwood.

The provider's business location address is:

9090 MONTGOMERY RD
CINCINNATI, OH
ZIP 45242-712
Phone: (513) 745-9292

The provider's authorized official is Joanne K Leskowicz .
The authorized official title is Senior Vice President and has the following contact phone number (414) 918-5000.

The CLIA number assigned to this NPI record is 36D0931362 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 11/25/2020.

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				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	0097942	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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