Organization Active NPI

Stow-Glen Inc.

  • Assisted Living Facility
  • Stow, OH
National Provider Identifier
1346654829
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 12, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
213943401MedicaidOH

Other names 1

  • Cherry Creek Acres Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cherry Creek Acres2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.