Grace Woods Niles Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE WOODS NILES OPCO, LLC

Practice address

730 Youngstown Warren Rd
Niles, OH 44446-3578

Phone

(330) 652-4177

NPI assigned

Jan 23, 2017

Organization subpart

No

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

Authorized official

Name

Benjamin Parsons

Title

General Counsel

Phone

(216) 772-1105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1205373735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 ENGLE RD",
            "address_2": "STE 200",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463578",
            "telephone_number": "330-652-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WOODS NILES OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "216-772-1105"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolimar Gonzalez Melendez, CDCA PRE
• Evan Goob
• Stacy Goodyear, FNP-C
• Anna Elizabeth Gordon, M.S., CCC-SLP
• Grace Woods Adult Day Service, LLC
• Grace Woods Senior Living, LLC
• Keri Gradeless, LSW
• Annetta Graham
• Megan Grams
• Heather Gray

• Assisted Living Facility in Niles, OH
• Providers in Niles, 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 Jan 23, 2017; 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.