Brewster Parke Assisted Living

LBN: Brewster Parke Assisted Living
Brewster Parke Assisted Living is an health care organization with primary practice located at 360 Wabash Ave N , Brewster OH 44613-1042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Brewster Parke Assisted Living can be contacted via phone (330) 767-3451, or through Tomczak, Gina via phone (330) 767-7435.

Contact Information

Primary practice address
360 Wabash Ave N Brewster OH 44613-1042
Phone: (330) 767-3451
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tomczak, Gina
Phone: (330) 767-7435

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1053183632
LBN Legal business name Brewster Parke Assisted Living
DBA Doing business as
Authorized official Tomczak, Gina
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2023
Last updated Nov 13th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053183632 NPPES
Ohio MEDICAID 2784R

Popular Providers