Hamlet Health Care Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0510N Issued in OH

Legal business name

HAMLET HEALTH CARE OPERATOR LLC

Doing business as

The Manor at Hamlet Village

Practice address

150 Cleveland St
Chagrin Falls, OH 44022-2985

Phone

(440) 247-4200

Fax

(440) 247-7597

NPI assigned

Feb 9, 2006

Organization subpart

Yes

Parent organization

HAMLET OPERATOR HOLDING LLCAs reported in NPPES

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

Authorized official

Name

Mr. Elan Ruggill

Title

Vice President

Phone

(734) 222-5275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Manor at Hamlet Village Doing business as

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1376516328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAMLET HILLS DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222985",
            "telephone_number": "440-247-4201",
            "fax_number": "440-247-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEVELAND ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222985",
            "telephone_number": "440-247-4200",
            "fax_number": "440-247-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLET HEALTH CARE OPERATOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMLET OPERATOR HOLDING LLC",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "RUGGILL",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "734-222-5275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0510N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Hamlet Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael B. Guyer, L.P.C.C.
• Michael Gype, PA-C
• Spencer Hadbavny
• Brianna Nicole Hallen
• Hamlet Assisted Living Operator LLC
• Hamlet Village (Hamlet Manor)
• Daria Sneed Hammond, NP
• Daniel William Handel, M.D.
• Carolyn Lee Hardesty, MD
• Harris L Freedman, DO, Inc

• Skilled Nursing Facility in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.