Senior Suites at Woodside Village, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR SUITES AT WOODSIDE VILLAGE, LLC

Practice address

19455 Rockside Rd
Bedford, OH 44146-2000

Phone

(440) 359-6139

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Max Stesel

Title

Manager

Phone

(847) 942-7575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1275989683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "SUITE 220",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-763-1111",
            "fax_number": "847-423-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462000",
            "telephone_number": "440-359-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SUITES AT WOODSIDE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "STESEL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-942-7575"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvage Hopes
• Kathryn Santora
• Suzanna Schaffer, MD
• Barbara Diana Schirch, RPH
• Inger Scott, RN
• Joel Shaffer
• Zaeem Shah, MD
• Monica Shakir
• Arielle Sharp
• Tytiayna Shelmon

• Assisted Living Facility in Bedford, OH
• Providers in Bedford, 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 May 5, 2016; 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.