Organization
AMERICAN RETIREMENT CORPORATION
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Homewood Residence at Rockefeller Gardens
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOHN P RIJOS (PRESIDENT)
(312) 977-3700
Entity
Organization
Contact information
Practice address
3151 MAYFIELD RD, CLEVELAND, OH 44118-1757
(216) 321-6331
Mailing address
3151 MAYFIELD RD, CLEVELAND, OH 44118-1757
(216) 321-6331
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2265-RCF
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
MEDICAID WAIVER
OH
Enumeration date
09/29/2008
Last updated
09/29/2008
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