PCP Euclid Avenue Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PCP EUCLID AVENUE OPCO LLC

Practice address

28500 Euclid Ave
Wickliffe, OH 44092-2500

Phone

(440) 373-9900

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Vasileios Sfyris

Title

Managing Partner

Phone

(678) 722-8041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1114777372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WINDWARD CONCOURSE STE 115",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051726",
            "telephone_number": "678-722-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28500 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922500",
            "telephone_number": "440-373-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCP EUCLID AVENUE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SFYRIS",
        "authorized_official_first_name": "VASILEIOS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "678-722-8041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Nieves, LDO
• Brian Robert Nolan, APRN.CNP.026406
• Pamela V Noll, PHD
• Brian Novack, DPM
• Johanna Olsen, RN
• Niesha Perry, LPCC-S,LICDC-CS
• Lisa Marie Petti, D.D.S.
• Steven P. Petti, D.D.S.
• Connie Phung, OTD, OTR/L
• Precision SGT Services LLC

• Assisted Living Facility in Wickliffe, OH
• Providers in Wickliffe, 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 Mar 28, 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.