Elyria Icf, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ELYRIA ICF, LLC

Practice address

1251 East Ave
Elyria, OH 44035-7674

Phone

(440) 322-0726

NPI assigned

Nov 18, 2013

Last updated

Jul 11, 2016By 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

Mary A Pank

Title

Paralegal

Phone

(502) 420-2666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1154751832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 EAST AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357674",
            "telephone_number": "440-322-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYRIA ICF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "PANK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "502-420-2666"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyria City Schools
• Elyria Eye Clinic Inc
• Elyria Foot Clinic Inc.
• Elyria Group Homes, Inc. (Sensi-Care)
• Elyria Icf II,LLC
• Elyria Internal Medicine, Inc
• Elyria Large Group Homes, Inc. (Palm Crest)
• Elyria Medical Center LLC
• Elyria Mediclinic
• Elyria Obstetrics & Gynecology Inc

• Intellectual Disabilities Intermediate Care Facility in Elyria, OH
• Providers in Elyria, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.