BROOKDALE BATH
NPI 1639441686
Assisted Living Facility in Akron, OH

NPI Status: Active since February 07, 2012

Contact Information

101 N CLEVELAND MASSILLON RD
AKRON, OH
ZIP 44333
Phone: (330) 666-7011
Fax: (330) 665-1493

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D0940186
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 02-05-2026

About BROOKDALE BATH

This page provides the complete NPI Profile along with additional information for Brookdale Bath, a provider established in Akron, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1639441686 assigned on February 2012. The practitioner's primary taxonomy code is 310400000X with license number 2181R (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brookdale Bath. The authorized official of this NPI record is Joanne K Leskowicz (Senior Vice President)

NPI
1639441686
Provider Legal Name
BROOKDALE PLACE OF BATH LLC
Other Organization Name
BROOKDALE BATH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 N CLEVELAND MASSILLON RD AKRON, OH 44333
Location Phone
(330) 666-7011
Location Fax
(330) 665-1493
Mailing Address
101 N CLEVELAND MASSILLON RD AKRON, OH 44333
Mailing Phone
(330) 666-7011
Mailing Fax
(330) 665-1493
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-07-2012
Last Update Date
11-25-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
2181R
License State
OH
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOANNE K LESKOWICZ

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(414) 918-5000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0070782MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0940186
Facility Type
Other
Certificate Effective Date
February 06, 2024
Certificate Expiration Date
February 05, 2026
Laboratory Director
MICHELLE VINCENT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookdale Bath to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BROOKDALE BATH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639441686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669842616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 4 + 2 + 6 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1639441686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235239047MS. OLA CHMILAK M.A. CCC/SLP
Individual
Speech-Language Pathologist101 N CLEVELAND MASSILLON RD
AKRON, OH 44333
(330) 666-7011
1366637944SUNRISE BATH ASSISTED LIVING, LLC
Organization
Assisted Living Facility101 N CLEVELAND MASSILLON RD
AKRON, OH 44333
(330) 666-7011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639441686, enumerated in the NPI registry as an "organization" on February 07, 2012

The provider is located at 101 N Cleveland Massillon Rd Akron, Oh 44333 and the phone number is (330) 666-7011

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D0940186 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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