Healthcare Provider Details

I. General information

NPI: 1366915902
Provider Name (Legal Business Name): WESTBROOK PLACE REHABILITATION AND NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 01/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27601 WESTCHESTER PKWY
WESTLAKE OH
44145-1251
US

IV. Provider business mailing address

15 AMERICA AVE UNIT 304
LAKEWOOD NJ
08701-4582
US

V. Phone/Fax

Practice location:
  • Phone: 440-871-5900
  • Fax:
Mailing address:
  • Phone: 732-659-1353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHAVA KRESCH
Title or Position: BUSINESS OFFICE
Credential:
Phone: 513-487-7479