Healthcare Provider Details

I. General information

NPI: 1447238399
Provider Name (Legal Business Name): NORTH PARK RETIREMENT COMMUNITY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14801 HOLLAND RD
BROOKPARK OH
44142-3092
US

IV. Provider business mailing address

14801 HOLLAND RD
BROOKPARK OH
44142-3092
US

V. Phone/Fax

Practice location:
  • Phone: 216-267-0555
  • Fax: 216-267-0883
Mailing address:
  • Phone: 216-267-0555
  • Fax: 216-267-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. EILEEN KILBANE
Title or Position: ASST. DIRECTOR OF OPERATIONS
Credential:
Phone: 440-250-4080