Park Vista Il Ops LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PARK VISTA IL OPS LLC

Practice address

1216 5TH Ave
Youngstown, OH 44504-1605

Phone

(330) 746-2944

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shlomo Mushell

Title

Manager

Phone

(917) 251-5131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1235739459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041605",
            "telephone_number": "330-746-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041605",
            "telephone_number": "330-746-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VISTA IL OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "MUSHELL",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-251-5131"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ralph Parilla II, PT
• Cheyenne M Paris, CDCA
• Maggie Paris, DIPLOMA
• Nicole M Parish, CNP, CNM
• Park Center Nursing LLC
• Park Vista SNF Ops, LLC
• Park Vista SNF Ops, LLC
• Sarah Chung Park, M.D.
• Ethel Parker
• Jalae Tiane Parker

• Adult Care Home Facility in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Adult Care Home Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.