MEDICARE: WOODLANDS BY HRC 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1073293676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLANDS BY HRC LLC

Provider Business Mailing Address
First Line	:	PO BOX 21677
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-0677
Country	:	US
Telephone Number	:	216-972-0846
Fax Number	:

Provider Business Practice Location Address
First Line	:	16333 CHAGRIN BLVD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-3711
Country	:	US
Telephone Number	:	216-369-6206
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NATHAN STEINMETZ
Credential	:
Telephone Number	:	440-666-2358

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

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