Hollowood House

LBN: Hollowood House
Hollowood House is an health care organization with primary practice located at 3717 Alesia Kae Dr , Brunswick OH 44212-5012. 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. Hollowood House can be contacted via phone (330) 273-5494, or through Pozderac, Denise T via phone (330) 273-5494.

Contact Information

Primary practice address
3717 Alesia Kae Dr Brunswick OH 44212-5012
Phone: (330) 273-5494
Fax: (330) 273-6199
Website:
Map and Directions
Authorized official contact:
Name: Pozderac, Denise T LNHA
Phone: (330) 273-5494

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 5210284 Ohio

Profile Details

NPI number 1225045255
LBN Legal business name Hollowood House
DBA Doing business as
Authorized official Pozderac, Denise T LNHA
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 12th, 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 1225045255 NPPES
Ohio MEDICAID 36-G533
Ohio MEDICAID 2015161

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