Active NPI
Stow-Glen Inc.
- Assisted Living Facility
- Stow, OH
National Provider Identifier
1346654829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- STOW-GLEN INC.
- Practice address
- 2950 Graham Rd
Stow, OH 44224-3620 - Phone
- (330) 686-7100
- Fax
- (330) 686-7173
- NPI assigned
- Jun 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy L Denton, LNHA
- Title
- Ceo
- Phone
- (330) 686-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | OH | Primary |
Addresses
Primary practice location
2950 Graham Rd
Stow, OH 44224-3620
Mailing address
2950 Graham Rd
Stow, OH 44224-3620
Phone (330) 686-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213943401 | Medicaid | OH |
Other names 1
- Cherry Creek Acres
National Provider Directory
National Provider Directory- Tax ID family
- Cherry Creek Acres
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Stow, OH
- NPI 1255435673
Locations
2950 Graham Rd
Stow, OH 44224
Phone (330) 686-2312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1346654829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 GRAHAM RD",
"city": "STOW",
"state": "OH",
"postal_code": "442243620",
"telephone_number": "330-686-7100",
"fax_number": "330-686-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 GRAHAM RD",
"city": "STOW",
"state": "OH",
"postal_code": "442243620",
"telephone_number": "330-686-7100",
"fax_number": "330-686-7173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOW-GLEN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "DENTON",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "330-686-7100",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213943401",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherry Creek Acres",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.