Park Creek Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2021R Issued in OH

Legal business name

PARK CREEK CENTER

Practice address

10064 N Church Dr
Parma Heights, OH 44130-4066

Phone

(440) 842-5100

Fax

(440) 842-5147

NPI assigned

Mar 4, 2009

Organization subpart

No

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

Authorized official

Name

Linda A Felice

Title

Administrator

Phone

(440) 842-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPC Senior Management, LLC Other name

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1184864126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 N CHURCH DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304066",
            "telephone_number": "440-842-5100",
            "fax_number": "440-842-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 N CHURCH DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304066",
            "telephone_number": "440-842-5100",
            "fax_number": "440-842-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CREEK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "FELICE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-842-5100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2021R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2781468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPC Senior Management, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristeen Elise Osler, LPN
• Outland Behavioral Health
• Karen Elaine Page
• Ralph Pajka, ED. S. NCSP
• Stanley Francis Pajka, M.D.
• Park Creek Center LLC
• Parma City School District
• Parma Neurology LLC
• Partners for Wellness
• Ami Patel, DDS

• Assisted Living Facility in Parma Heights, OH
• Providers in Parma Heights, 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 4, 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.