Provider Demographics
NPI:1619572906
Name:JENNINGS OPERATING LLC
Entity Type:Organization
Organization Name:JENNINGS OPERATING LLC
Other - Org Name:JENNINGS ASSISTED LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-581-2900
Mailing Address - Street 1:10204 GRANGER ROAD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:216-581-2900
Mailing Address - Fax:216-581-4505
Practice Address - Street 1:10210 GRANGER ROAD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:216-581-2900
Practice Address - Fax:216-626-0049
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JENNINGS CENTER FOR OLDER ADULTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-03
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility