THE DEROL COMPANY LLC NPI 1124268222

NPI Information

NPI: 1124268222
Provider Name: THE DEROL COMPANY LLC

Doing Business As: VILLAGE OF THE FALLS ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
25920 ELM ST
OLMSTED FALLS, OH
ZIP 44138
Phone: (440) 235-7590
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THE DEROL COMPANY LLC is an assisted living facility in Olmsted Falls, 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. THE DEROL COMPANY LLC NPI is 1124268222. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Of The Falls Assisted Living.

The provider's business location address is:

25920 ELM ST
OLMSTED FALLS, OH
ZIP 44138-616
Phone: (440) 235-7590

The provider's authorized official is Marie Diana Grosh .
The authorized official title is Administrator and has the following contact phone number (440) 235-7590.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/2/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		2331R	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2866297	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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