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PARK VISTA IL OPS LLC NPI 1235739459


NPI Information

NPI: 1235739459
Provider Name: PARK VISTA IL OPS LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 36D2007419

Address:
1216 5TH AVE
YOUNGSTOWN, OH
ZIP 44504
Phone: (330) 746-2944
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PARK VISTA IL OPS LLC is an adult care home custodial care facility in Youngstown, OH. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PARK VISTA IL OPS LLC NPI is 1235739459. The provider is registered as an organization entity type.

The provider's business location address is:

1216 5TH AVE
YOUNGSTOWN, OH
ZIP 44504-605
Phone: (330) 746-2944

The provider's authorized official is Shlomo Mushell .
The authorized official title is Manager and has the following contact phone number (917) 251-5131.

The CLIA number assigned to this NPI record is 36D2007419 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 10/27/2020.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

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

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