South Avenue Assisted Living, LLC
NPI 1710477567 · Assisted Living Facility · Boardman, OH
South Avenue Assisted Living, LLC is a Assisted Living Facility organization in Boardman, OH (NPI 1710477567).
Provider details
- NPI number
- 1710477567
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Reese, Director of Business Development(330) 726-5790
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Inn at Walker Mill
Registry dates
- Enumerated
- 2018-05-17
- Last updated
- 2018-05-17
Frequently asked questions
- What is South Avenue Assisted Living, LLC's NPI number?
- South Avenue Assisted Living, LLC's National Provider Identifier (NPI) is 1710477567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Avenue Assisted Living, LLC?
- South Avenue Assisted Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is South Avenue Assisted Living, LLC located?
- South Avenue Assisted Living, LLC's practice location on file with NPPES is 8060 South Ave, Boardman, OH 44512-6108.
- What is South Avenue Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Avenue Assisted Living, LLC is (330) 726-5790.
- Who is the authorized official for South Avenue Assisted Living, LLC?
- The authorized official listed on South Avenue Assisted Living, LLC's NPPES record is Edward Reese, Director of Business Development. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Avenue Assisted Living, LLC's NPI active?
- Yes — South Avenue Assisted Living, LLC's NPI (1710477567) is active in the NPPES registry as of the last update on 2018-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.