Provider Demographics
NPI:1669879086
Name:JENNINGS OPERATING LLC
Entity type:Organization
Organization Name:JENNINGS OPERATING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:QUICK
Authorized Official - Last Name:SALOPECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-581-2900
Mailing Address - Street 1:10204 GRANGER RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3106
Mailing Address - Country:US
Mailing Address - Phone:216-581-2900
Mailing Address - Fax:216-581-4505
Practice Address - Street 1:10204 GRANGER RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3106
Practice Address - Country:US
Practice Address - Phone:216-581-2900
Practice Address - Fax:216-581-4505
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JENNINGS CENTER FOR OLDER ADULTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6331310400000X
OH2739314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility