Active NPI
McCrea Operating Company LLC
Doing business as McCrea Manor Nursing & Rehabilitation Center
- Assisted Living Facility
- Alliance, OH
National Provider Identifier
1104416502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MCCREA OPERATING COMPANY LLC
- Doing business as
- McCrea Manor Nursing & Rehabilitation Center
- Practice address
- 2040 McCrea St
Alliance, OH 44601-2703 - Phone
- (330) 823-9055
- NPI assigned
- Jan 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Degyansky, LNHA
- Title
- Vice President of Operations
- Phone
- (330) 620-7828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2040 McCrea St
Alliance, OH 44601-2703
Mailing address
2040 McCrea St
Alliance, OH 44601-2703
Phone (330) 823-9055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804R | Other | OH | LICENSURE |
Other names 1
- McCrea Manor Nursing & Rehabilitation Center
National Provider Directory
National Provider Directory- Tax ID family
- McCrea Manor Nursing Rehab Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba McCrea Manor Nursing & Rehab Center
- Skilled Nursing Facility
- Alliance, OH
- NPI 1043836471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1104416502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 MCCREA ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446012703",
"telephone_number": "330-823-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 MCCREA ST",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446012703",
"telephone_number": "330-823-9055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCREA OPERATING COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-20",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "DEGYANSKY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "330-620-7828",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "1804R",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McCrea Manor Nursing & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "McCrea Manor Nursing & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.