=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801753835
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REFLECTIONS RETIREMENT COMMUNITY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2026
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2750 W FAIR AVE
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43130-9500
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-653-1423
-----------------------------------------------------
Fax | 750-653-1413
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 E COURT ST STE 400
-----------------------------------------------------
City | KANKAKEE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60901-3848
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-935-1992
-----------------------------------------------------
Fax | 815-935-8380
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FIN PROJ & BUSINESS INS COORD
-----------------------------------------------------
Name | BRIDGETT L FITZGERALD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 779-771-6982
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------