PARK CREEK CENTER NPI 1184864126

NPI Information

  • NPI: 1184864126
  • Provider Name: PARK CREEK CENTER
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: SPC SENIOR MANAGEMENT, LLC
  • Address: 10064 N CHURCH DR
    PARMA HEIGHTS, OH
    ZIP 44130
  • Phone: (440) 842-5100

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NPI Details

PARK CREEK CENTER is an assisted living facility in Parma Heights, 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. PARK CREEK CENTER NPI is 1184864126. The provider is registered as an organization entity type.
The provider Other Name Is Spc Senior Management, Llc.

The provider's business location address is:

10064 N CHURCH DR
PARMA HEIGHTS, OH
ZIP 44130-066
Phone: (440) 842-5100
Fax: (440) 842-5147

The provider's authorized official is Linda A Felice .
The authorized official title is Administrator and has the following contact phone number (440) 842-5100.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 3/4/2009.

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
1310400000XAssisted Living Facility2021ROHIOYes

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
12781468MEDICAIDOHIO

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: 11/21/2025

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