Ec Opco Sagamore Hills LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EC OPCO SAGAMORE HILLS LLC

Practice address

997 W Aurora Rd
Sagamore Hills, OH 44067-4602

Phone

(937) 372-1530

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Amy W. Fleming

Title

Controller

Phone

(971) 337-3922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1124529227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD STE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358646",
            "telephone_number": "971-213-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W AURORA RD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440674602",
            "telephone_number": "937-372-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC OPCO SAGAMORE HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "971-337-3922"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Duong Cooley, D.O.
• Himmat Dhillon
• Mary Dressler, COTA/L
• DRS. Saridakis, Scanlon & Saridakis, Inc.
• Alexis Catherine Dupont
• Laura A Fitzpatrick, NP
• Andrew Lee Gardella, D.C
• Lori Lynn Gemma, D.O.
• Mary Glavan, R.PH.
• Danny Michael Greenwood, DDS

• All providers in Sagamore Hills, OH
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.