Pine Grove Habilitation Center

LBN: Pearl Ll 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 Ll Leasing Co, Llc can be contacted via phone (440) 888-1320, or through Smith, Deborah Kay via phone (440) 888-1320.

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: Smith, Deborah Kay
Phone: (440) 888-1320

Health care specialties

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

Profile Details

NPI number 1811084338
LBN Legal business name Pearl Ll Leasing Co, Llc
DBA Doing business as Pine Grove Habilitation Center
Authorized official Smith, Deborah Kay
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 21st, 2022 - about 3 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 1811084338 NPPES
Ohio MEDICAID 2607129

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