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BREWSTER PARKE ASSISTED LIVING
NPI 1053183632
Assisted Living Facility in Brewster, OH

Active since October 26, 2023CLIA 36D2248554 · Waiver
360 WABASH AVE N, BREWSTER, OH 44613(330) 767-3451 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Oct 30, 2023, Oct 26, 2023 (3 updates tracked since 2023).

About Brewster Parke Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREWSTER PARKE ASSISTED LIVING (NPI 1053183632) is a healthcare organization registered as an assisted living facility in Brewster, Ohio and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Gina Tomczak, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053183632
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBREWSTER PARKE ASSISTED LIVING
Location Address360 WABASH AVE NBrewster, OH 44613-1042
Mailing Address360 Wabash Ave NBrewster, OH 44613-1042 · (330) 767-4179
Phone(330) 767-3451
Organization SubpartYesParent: Brewster Parke, Inc.
Authorized OfficialGina TomczakCfo · (330) 767-7435
Enumeration DateOctober 26, 2023
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1053183632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
360 WABASH AVE N, Brewster, OH 44613
Open in Google Maps ↗

Other Identifiers 1

Medicaid2784ROH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2248554

Brewster Park, Inc Assisted Living · Brewster, OH
Active · expires Jan 13, 2028
CLIA Number36D2248554
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorLisa M. Byer
Laboratory Phone(330) 767-7444
Laboratory LocationBrewster Park, Inc Assisted Living360 Wabash Ave N, Brewster, OH 44613
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JO MCDONALD
Physical Therapy Assistant
360 WABASH AVE N
BREWSTER, OH 44613
Stark County (330) 767-4179
K-C HEALTH SERVICES INC
Pharmacy (Community/Retail Pharmacy)
360 WABASH AVE N
BREWSTER, OH 44613
Stark County (330) 767-3436
K C HEALTH SERVICES
Pharmacy (Long Term Care Pharmacy)
360 WABASH AVE N, STE B
BREWSTER, OH 44613
Stark County (330) 767-3436
MR. PATRICK SMITH
Pharmacist
360 WABASH AVE N
BREWSTER, OH 44613
Stark County (330) 767-3436
DR. CHARLES P CATHER R.PH, PHARM D
Pharmacist
360 WABASH AVE N
BREWSTER, OH 44613
Stark County (330) 767-3436
KRYSTAL HEWITT
Occupational Therapy Assistant
360 WABASH AVE N
BREWSTER, OH 44613
Stark County (330) 767-4179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brewster Parke Assisted Living's NPI number?

The NPI number for Brewster Parke Assisted Living is 1053183632. It was assigned to this organization in the NPPES registry on October 26, 2023.

Where is Brewster Parke Assisted Living located?

Brewster Parke Assisted Living is located at 360 Wabash Ave N, Brewster, OH 44613. The listed phone number is (330) 767-3451.

What is Brewster Parke Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Brewster Parke Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2248554) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brewster Parke Assisted Living was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.