Brookdale Wickliffe

LBN: Blc The Fairways Lh Llc
Brookdale Wickliffe is an health care organization with primary practice located at 30630 Ridge Rd , Wickliffe OH 44092-1166. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Blc The Fairways Lh Llc can be contacted via phone (440) 943-2050, or through Leskowicz, Joanne K via phone (414) 918-5000.

Contact Information

Primary practice address
30630 Ridge Rd Wickliffe OH 44092-1166
Phone: (440) 943-2050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leskowicz, Joanne K
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2201R Ohio

Profile Details

NPI number 1063736213
LBN Legal business name Blc The Fairways Lh Llc
DBA Doing business as Brookdale Wickliffe
Authorized official Leskowicz, Joanne K
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 17th, 2010
Last updated Nov 25th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063736213 NPPES
Ohio MEDICAID 3050728

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