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ASSISTED LIVING SERVICES INC NPI 1780826024


NPI Information

NPI: 1780826024
Provider Name: ASSISTED LIVING SERVICES INC

Doing Business As: ELMS RETIREMENT VILLAGE

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

CLIA Number: 36D0334855

Address:
115 PROSPECT ST
WELLINGTON, OH
ZIP 44090
Phone: (440) 647-2414
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ASSISTED LIVING SERVICES INC is an assisted living facility in Wellington, 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 SERVICES INC NPI is 1780826024. The provider is registered as an organization entity type.
The provider Is Doing Business As Elms Retirement Village.

The provider's business location address is:

115 PROSPECT ST
WELLINGTON, OH
ZIP 44090-296
Phone: (440) 647-2414
Fax: (440) 647-1624

The provider's authorized official is Kenneth A. Malanovski .
The authorized official title is President and has the following contact phone number (440) 989-5235.

The CLIA number assigned to this NPI record is 36D0334855 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 7/10/2019.


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
1313M00000XNursing Facility/Intermediate Care Facility5694OHIONo
2310400000XAssisted 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
12938218MEDICAIDOHIO

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: 5/5/2024

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