MEDICARE: BUCKEYE FOREST AT NORTH OLMSTEAD 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
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1560N	OTHER	OH	LICENSURE

General Provider Information

NPI Number	:	1811652712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKEYE FOREST AT NORTH OLMSTEAD LLC

Provider Business Mailing Address
First Line	:	50 CHESTNUT RIDGE RD STE 107
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1823
Country	:	US
Telephone Number	:	908-327-6982
Fax Number	:

Provider Business Practice Location Address
First Line	:	23225 LORAIN RD
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-1624
Country	:	US
Telephone Number	:	440-779-6900
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LARRY KATZ
Credential	:
Telephone Number	:	908-327-6982

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	12/11/2025

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Directions to “BUCKEYE FOREST AT NORTH OLMSTEAD LLC ” Practice Location

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