Healthcare Provider Details

I. General information

NPI: 1487715025
Provider Name (Legal Business Name): NORWOOD HEALTHCARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SHERMAN AVE
NORWOOD OH
45212-2510
US

IV. Provider business mailing address

26691 RICHMOND RD
BEDFORD HEIGHTS OH
44146-1447
US

V. Phone/Fax

Practice location:
  • Phone: 216-292-5706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1922N
License Number StateOH

VIII. Authorized Official

Name: WILLIAM WEISBERG
Title or Position: VICE PRESIDENT
Credential:
Phone: 216-292-5706