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CRG HEALTH CARE SYSTEM INC. NPI 1023291200


NPI Information

NPI: 1023291200
Provider Name: CRG HEALTH CARE SYSTEM, INC.

Doing Business As: THE MANOR AT AUTUMN HILLS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2567 NILES VIENNA RD
NILES, OH
ZIP 44446
Phone: (330) 652-6745
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CRG HEALTH CARE SYSTEM, INC. is an assisted living facility in Niles, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CRG HEALTH CARE SYSTEM, INC. NPI is 1023291200. The provider is registered as an organization entity type.
The provider Is Doing Business As The Manor At Autumn Hills.

The provider's business location address is:

2567 NILES VIENNA RD
NILES, OH
ZIP 44446-401
Phone: (330) 652-6745
Fax: (330) 652-8743

The provider's authorized official is Carl Russell Gillette .
The authorized official title is Owner, Medical Director and has the following contact phone number (330) 652-6745.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility34-001344OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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