Gardens a Wapakoneta Operating Company LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GARDENS A WAPAKONETA OPERATING COMPANY LLC

Doing business as

The Gardens at Wapakoneta

Practice address

505 Walnut St
Wapakoneta, OH 45895-1868

Phone

(419) 738-9210

NPI assigned

Jun 22, 2020

Last updated

Dec 17, 2024By 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

Mr. Jeffrey Degyansky, LNHA

Title

Vice President of Operations

Phone

(330) 620-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Gardens at Wapakoneta Doing business as

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1265058606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 LANDERBROOK DR STE 350",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244063",
            "telephone_number": "330-620-7828",
            "fax_number": "216-428-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WALNUT ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951868",
            "telephone_number": "419-738-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS A WAPAKONETA OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DEGYANSKY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "330-620-7828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "2244R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens at Wapakoneta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Gardens at Wapakoneta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Wapakoneta, OH
• Providers in Wapakoneta, 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 Dec 17, 2024; 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.