Active NPI
North Park SNF Opco LLC
- Skilled Nursing Facility
- Brookpark, OH
National Provider Identifier
1215869201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NORTH PARK SNF OPCO LLC
- Practice address
- 14801 Holland Rd
Brookpark, OH 44142-3092 - Phone
- (330) 620-7828
- NPI assigned
- Jun 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Degyansky
- Title
- Chief Operating Officer
- Phone
- (330) 620-7828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
14801 Holland Rd
Brookpark, OH 44142-3092
Mailing address
5910 Landerbrook Dr Ste 150
Mayfield Heights, OH 44124-6506
Other names 1
- North Park Care Community
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1215869201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 LANDERBROOK DR STE 150",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441246506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14801 HOLLAND RD",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441423092",
"telephone_number": "330-620-7828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH PARK SNF OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "DEGYANSKY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "330-620-7828"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Park Care Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.