Palm Crest

LBN: Ely Park Health Care, Inc.
Palm Crest is an health care organization with primary practice located at 1251 East Ave , Elyria OH 44035-7674. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ely Park Health Care, Inc. can be contacted via phone (440) 322-0726, or through Colleran, Brian via phone (440) 614-0160.

Contact Information

Primary practice address
1251 East Ave Elyria OH 44035-7674
Phone: (440) 322-0726
Fax: (440) 322-2810
Website:
Map and Directions
Authorized official contact:
Name: Colleran, Brian
Phone: (440) 614-0160

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 4023 Ohio

Profile Details

NPI number 1083618060
LBN Legal business name Ely Park Health Care, Inc.
DBA Doing business as Palm Crest
Authorized official Colleran, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Sep 10th, 2007 - about 17 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 1083618060 NPPES
Ohio MEDICAID 2750670

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