NPIMap

Organization Active NPI

Shepherd of the Valley Lutheran Retirement Services, Inc.

  • Assisted Living Facility
  • Girard, OH
National Provider Identifier
1295169100
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.
Practice address
1501 Tibbetts Wick Rd
Girard, OH 44420-1206
Phone
(330) 544-0771
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Victoria Brown
Title
C.F.O.
Phone
(330) 530-4038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1501 Tibbetts Wick Rd
Girard, OH 44420-1206

Mailing address

5525 Silica Rd
Austintown, OH 44515-1002
Phone (330) 530-4038

Other names 2

  • Shepherd of the Valley - Liberty Doing business as
  • Shepherd of the Valley Niles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shepherd of the Valley Lutheran Retirement Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1295169100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 SILICA RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151002",
            "telephone_number": "330-530-4038",
            "fax_number": "330-530-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201206",
            "telephone_number": "330-544-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "330-530-4038"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd of the Valley - Liberty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shepherd of the Valley Niles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shepherd of the Valley Niles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Girard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.