Palm Crest

LBN: Elyria Large Group Homes, 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 / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Elyria Large Group Homes, 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 / Intermediate Care Facility, Mentally Retarded 315P00000X Ohio

Profile Details

NPI number 1154516581
LBN Legal business name Elyria Large Group Homes, Inc.
DBA Doing business as Palm Crest
Authorized official Colleran, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Aug 6th, 2009 - about 15 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 1154516581 NPPES
Ohio MEDICAID 2940410

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