KINGSBURY HOUSE
NPI 1477740785
Assisted Living Facility in Defiance, OH

Q: What is Assisted Living Concepts Inc's NPI number?

The NPI number for Assisted Living Concepts Inc is 1477740785. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Kingsbury House.

Q: What is Assisted Living Concepts Inc's specialty?

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

Active since October 01, 2007CLIA 36D2062382 · Waiver

245 NORTH ROSEWOOD AVENUE, DEFIANCE, OH 43512(419) 782-6324(419) 782-6607 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Kingsbury House NPPES

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

KINGSBURY HOUSE (NPI 1477740785) is a healthcare organization registered as an assisted living facility in Defiance, Ohio and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Walter A Levonowich, Vice President Controller, as its authorized official.

NPPES Registry Identity

NPI1477740785

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameASSISTED LIVING CONCEPTS INC

Location Address245 NORTH ROSEWOOD AVENUEDefiance, OH 43512

Mailing AddressW140 N8981 Lilly Road, Legal DepartmentMenomonee Falls, WI 53051-2325 · (262) 257-8888 · Fax (262) 251-7633

Phone(419) 782-6324

Fax(419) 782-6607

Organization SubpartNo

Authorized OfficialWalter A LevonowichVice President Controller · (262) 257-8888

Enumeration DateOctober 1, 2007

✔ NPI 1477740785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in OH · 2111

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.

245 NORTH ROSEWOOD AVENUE, Defiance, OH 43512

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Other Names 1

Doing Business AsKingsbury House

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 36D2062382

Kingsbury House · Defiance, OH

Active · expires Jul 15, 2027

CLIA Number36D2062382

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorSabrena Fields

Laboratory Phone(419) 782-6324

Laboratory LocationKingsbury House245 W Rosewood Avenue, Defiance, OH 43512

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Assisted Living Concepts Inc's NPI number?

The NPI number for Assisted Living Concepts Inc is 1477740785. It was assigned to this organization in the NPPES registry on October 1, 2007. The provider is doing business as Kingsbury House.

Where is Assisted Living Concepts Inc located?

Assisted Living Concepts Inc is located at 245 North Rosewood Avenue, Defiance, OH 43512. The listed phone number is (419) 782-6324.

What is Assisted Living Concepts Inc's specialty?

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

Does Assisted Living Concepts Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2062382) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Assisted Living Concepts Inc was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.