Encore McHenry LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ENCORE MCHENRY LLC

Practice address

805 S Buchanan St
Fremont, OH 43420-4992

Phone

(563) 258-0409

NPI assigned

Jul 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Roth Norman Weaver

Title

Coo

Phone

(563) 258-0409

Specialties & licenses 1

Addresses

Other names 1

• Courtyard at Fremont Doing business as

Tax ID family

Courtyard at Fremont2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Encore McHenry LLC

  • Assisted Living Facility
  • Auburn Hills, MI
  • NPI 1073380549
  NPD tax ID

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1104664408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MONROE ST STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064702",
            "telephone_number": "563-258-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S BUCHANAN ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204992",
            "telephone_number": "563-258-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE MCHENRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ROTH",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "563-258-0409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard at Fremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy M. Elling, PC
• Marlene S Ellis, LISW
• Elmwood of Fremont, LTD.
• Elmwood of Fremont, LTD.
• Catherine Noel Elwood
• Anthony Esker, PTA
• Nancy Yvonne Estep, L.M.T.
• Robyn Everhart
• Everside Health Center-Fremont
• Exigence of Fremont, LLC

• Assisted Living Facility in Fremont, OH
• Providers in Fremont, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.