NPIMap

Organization Active NPI

Shaker Gardens Opco LLC

  • Assisted Living Facility
  • Shaker Heights, OH
National Provider Identifier
1184232654
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHAKER GARDENS OPCO LLC
Practice address
3550 Northfield Rd
Shaker Heights, OH 44122-5253
Phone
(216) 452-5598
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Abba Stein
Title
Authorized Rep
Phone
(347) 272-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3550 Northfield Rd
Shaker Heights, OH 44122-5253

Mailing address

3550 Northfield Rd
Shaker Heights, OH 44122-5253

National Provider Directory

National Provider Directory
Tax ID family
Shaker Gardens Opco LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1184232654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 NORTHFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NORTHFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225253",
            "telephone_number": "216-452-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER GARDENS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABBA",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "347-272-4167"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.