The Derol Company LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2331R Issued in OH

Legal business name

THE DEROL COMPANY LLC

Doing business as

Village of the Falls Assisted Living

Practice address

25920 Elm St
Olmsted Falls, OH 44138-1616

Phone

(440) 235-7590

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By 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. Marie Diana Grosh, LNHA

Title

Administrator

Phone

(440) 235-7590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village of the Falls Assisted Living Doing business as

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1124268222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25920 ELM ST",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381616",
            "telephone_number": "440-235-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25920 ELM ST",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381616",
            "telephone_number": "440-235-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEROL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "GROSH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-235-7590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2331R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2866297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of the Falls Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Olmsted Falls, OH
• Providers in Olmsted Falls, 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 2, 2009; 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.