Pine Grove Habilitation Center

LBN: Pearl Iii Leasing Co, Llc
Pine Grove Habilitation Center is an health care organization with primary practice located at 5608 Pearl Rd , Parma OH 44129-2547. 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. Pearl Iii Leasing Co, Llc can be contacted via phone (440) 888-1320, or through Hubbard, Sandra K via phone (513) 530-1327.

Contact Information

Primary practice address
5608 Pearl Rd Parma OH 44129-2547
Phone: (440) 888-1320
Fax: (440) 888-1304
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Sandra K
Phone: (513) 530-1327

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 25454 Ohio

Profile Details

NPI number 1417079021
LBN Legal business name Pearl Iii Leasing Co, Llc
DBA Doing business as Pine Grove Habilitation Center
Authorized official Hubbard, Sandra K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Dec 18th, 2008 - 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 1417079021 NPPES
Ohio MEDICAID 2607129

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