East Park Retirement Community Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

365731 Issued in OH

Legal business name

EAST PARK RETIREMENT COMMUNITY INC

Practice address

8 E Park Cir
Brookpark, OH 44142-3800

Phone

(216) 267-7067

Fax

(216) 267-5022

NPI assigned

Dec 21, 2005

Last updated

Jul 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Eileen Kilbane

Title

Assistant Director of Operations

Phone

(440) 250-4080

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1083690135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E PARK CIR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423800",
            "telephone_number": "216-267-7067",
            "fax_number": "216-267-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E PARK CIR",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423800",
            "telephone_number": "216-267-7067",
            "fax_number": "216-267-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PARK RETIREMENT COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "KILBANE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "440-250-4080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "365731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anne Duttko
• East Park Care Center (East Park Care - Laboratory)
• East Park Operations LLC (East Park Care Community)
• East Park Operations LLC (East Park Care Community)
• East Park Operations LLC (East Park Care Community)
• Briana Echevarria
• Rebecca Ann Elder
• Tyler Robert Eliason
• Empower Care, LLC
• Family Choice House Calls, LLC

• Skilled Nursing Facility in Brookpark, OH
• Providers in Brookpark, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.