Organization Active NPI

Stone Crossing Skilled Care, LLC

  • Assisted Living Facility
  • Canton, OH
National Provider Identifier
1174093199
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
STONE CROSSING SKILLED CARE, LLC
Doing business as
Glenwood Care Assisted Living
Practice address
836 34TH Street, NW
Canton, OH 44709
Phone
(330) 492-7131
Fax
(330) 492-1661
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Eli M. Gunzburg
Title
Manager
Phone
(216) 200-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

836 34TH Street, NW
Canton, OH 44709

Mailing address

29225 Chagrin Blvd.
Suite 230
Cleveland, OH 44122
Phone (216) 367-1214

Other names 1

  • Glenwood Care Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1174093199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29225 CHAGRIN BLVD.",
            "address_2": "SUITE 230",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-367-1214",
            "fax_number": "866-629-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 34TH STREET, NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44709",
            "telephone_number": "330-492-7131",
            "fax_number": "330-492-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CROSSING SKILLED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "GUNZBURG",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-200-5917"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Care Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.