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SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES INC. NPI 1629419239


NPI Information

NPI: 1629419239
Provider Name: SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.

Doing Business As: SHEPHERD OF THE VALLEY POLAND

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
301 W WESTERN RESERVE RD
POLAND, OH
ZIP 44514
Phone: (330) 726-7110
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SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC. is an assisted living facility in Poland, 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. SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC. NPI is 1629419239. The provider is registered as an organization entity type.
The provider Is Doing Business As Shepherd Of The Valley Poland.

The provider's business location address is:

301 W WESTERN RESERVE RD
POLAND, OH
ZIP 44514-527
Phone: (330) 726-7110
Fax: (330) 726-2517

The provider's authorized official is Victoria Brown .
The authorized official title is Associate Director/c.f.o. and has the following contact phone number (330) 530-4038.

The enumeration date for this NPI number is 7/11/2013 and was last updated on 7/11/2013.


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 Facility5184OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10054967MEDICAIDOHIO

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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