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NPI Code Detail

MEDICARE: NORTHRIDGE POST ACUTE CARE LLC

MEDICARE: NORTHRIDGE POST ACUTE CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1063202927
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHRIDGE POST ACUTE CARE LLC
Provider Business Mailing Address
First Line : 35990 WESTMINISTER AVE
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-1373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35990 WESTMINISTER AVE
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-1373
Country : US
Telephone Number : 440-327-8511
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. KEVIN TROCKLEY
Credential :
Telephone Number : 440-327-8511
Provider Enumeration Date : 05/12/2025
Last Update Date : 07/09/2025

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Directions to “NORTHRIDGE POST ACUTE CARE LLC ” Practice Location

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