NPIMap

Organization Active NPI

Shaker Gardens Opco LLC

  • Assisted Living Facility
  • Shaker Heights, OH
National Provider Identifier
1265028757
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHAKER GARDENS OPCO LLC
Practice address
3550 Northfield Rd
Shaker Heights, OH 44122-5253
Phone
(216) 752-5600
Fax
(216) 491-4262
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Mr. Abba Stein
Title
Ceo
Phone
(347) 272-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3550 Northfield Rd
Shaker Heights, OH 44122-5253

Mailing address

3550 Northfield Rd
Shaker Heights, OH 44122-5253
Phone (216) 752-5600

Other names 1

  • Shaker Gardens Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shaker Gardens Opco LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1265028757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 NORTHFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225253",
            "telephone_number": "216-752-5600",
            "fax_number": "216-491-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NORTHFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225253",
            "telephone_number": "216-752-5600",
            "fax_number": "216-491-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER GARDENS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ABBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-272-4167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaker Gardens Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.