Aged to Perfection II

Primary specialty

Respite CareTaxonomy code 385H00000X

License

03-7682 Issued in OH

Legal business name

AGED TO PERFECTION II

Practice address

4850 Pheasant Dr
Lorain, OH 44053-4308

Phone

(440) 985-0055

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

James Novak

Title

Executor

Phone

(440) 458-8700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1194276121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40998 BUTTERNUT RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357920",
            "telephone_number": "440-985-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 PHEASANT DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534308",
            "telephone_number": "440-985-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGED TO PERFECTION II",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "440-458-8700"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "03-7682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Lorain, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.