The Inn at Northwood Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2661R Issued in OH

Legal business name

THE INN AT NORTHWOOD VILLAGE

Practice address

5799 N Wooster Avenue Ext NW
Dover, OH 44622-6400

Phone

(234) 801-4041

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Shelly Williams

Title

Executive Director

Phone

(234) 801-4041

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1265830350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 N WOOSTER AVENUE EXT NW",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446226400",
            "telephone_number": "234-801-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 N WOOSTER AVENUE EXT NW",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446226400",
            "telephone_number": "234-801-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INN AT NORTHWOOD VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "234-801-4041"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2661R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed M Tamim, MD
• Anne M Taylor, CRNA
• Jonathan R. Taylor, DMD
• Ray Malcolm Taylor Jr., D.D.S.
• Thomas Leslie Teater, MD
• The Tamarkin Company
• The Tuscarawas County Young Men'S Christian Association
• The Union Hospital Association
• The Union Hospital Association
• The Union Hospital Association

• Assisted Living Facility in Dover, OH
• Providers in Dover, 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 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.