MEDICARE: EMBASSY FOREST HILLS

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
1	314000000X	Skilled Nursing Facility	2028N	OH

General Provider Information

NPI Number	:	1477985554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBASSY FOREST HILLS

Provider Business Mailing Address
First Line	:	24579 BROADWAY AVE
Second Line	:
City	:	OAKWOOD VILLAGE
State	:	OH
Zip	:	44146-6338
Country	:	US
Telephone Number	:	440-439-7976
Fax Number	:

Provider Business Practice Location Address
First Line	:	2841 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4037
Country	:	US
Telephone Number	:	614-891-1111
Fax Number	:	614-794-6281

Authorized Official
Title or Position	:	ATTORNEY
Name	:	HAYLEY B WILLIAMS
Credential	:
Telephone Number	:	216-706-3936

Provider Enumeration Date	:	07/31/2013
Last Update Date	:	07/31/2013

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Directions to “EMBASSY FOREST HILLS ” Practice Location

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