Willow Park Convalescent Home,Inc.

LBN: Willow Park Convalescent Home,Inc.
Willow Park Convalescent Home,Inc. is an health care organization with primary practice located at 18810 Harvard Ave , Cleveland OH 44122-6848. 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. Willow Park Convalescent Home,Inc. can be contacted via phone (216) 752-3600, or through White, Adam J via phone (614) 416-2638.

Contact Information

Primary practice address
18810 Harvard Ave Cleveland OH 44122-6848
Phone: (216) 752-3600
Fax: (216) 752-5612
Website:
Map and Directions
Authorized official contact:
Name: White, Adam J MBA
Phone: (614) 416-2638

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 4104 Ohio

Profile Details

NPI number 1194729038
LBN Legal business name Willow Park Convalescent Home,Inc.
DBA Doing business as
Authorized official White, Adam J MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1194729038 NPPES
Ohio MEDICAID 2402519

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