Healthcare Provider Details
I. General information
NPI: 1477358570
Provider Name (Legal Business Name): LYNDHURST SNF OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1575 BRAINARD RD
LYNDHURST OH
44124-3096
US
IV. Provider business mailing address
1575 BRAINARD RD
LYNDHURST OH
44124-3096
US
V. Phone/Fax
- Phone: 440-460-1000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATHAN
STEIMETZ
Title or Position: MANAGER
Credential:
Phone: 516-545-0980