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RANDALL RESIDENCE AT ROYALTON WOODS NPI 1538616503


NPI Information

NPI: 1538616503
Provider Name: RANDALL RESIDENCE AT ROYALTON WOODS

Doing Business As: ROYALTON WOODS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
14277 STATE RD
NORTH ROYALTON, OH
ZIP 44133
Phone: (440) 582-4111
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RANDALL RESIDENCE AT ROYALTON WOODS is an assisted living facility in North Royalton, 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. RANDALL RESIDENCE AT ROYALTON WOODS NPI is 1538616503. The provider is registered as an organization entity type.
The provider Is Doing Business As Royalton Woods.

The provider's business location address is:

14277 STATE RD
NORTH ROYALTON, OH
ZIP 44133-130
Phone: (440) 582-4111
Fax: (440) 237-1226

The provider's authorized official is Christopher Randall .
The authorized official title is Ceo and has the following contact phone number (269) 624-4841.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.


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 FacilityOHIOYes

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
10173993MEDICAIDOHIO

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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