The Inn at Medina LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2319R Issued in OH

Legal business name

THE INN AT MEDINA LLC

Doing business as

Emeritus at Medina

Practice address

100 High Point Dr
Medina, OH 44256-4360

Phone

(330) 723-0110

Fax

(330) 722-7039

NPI assigned

Oct 23, 2009

Last updated

Oct 23, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERVILLE SENIOR LIVING, INC.As reported in NPPES

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

Authorized official

Name

Noelle Diaz Bickel

Title

Licensing Specialist

Phone

(206) 298-2909

Specialties & licenses 2

Addresses

Other names 1

• Emeritus at Medina Doing business as

Part of

Summerville at Chestnut Hill LLC

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1386970473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH POINT DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564360",
            "telephone_number": "330-723-0110",
            "fax_number": "330-722-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INN AT MEDINA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE SENIOR LIVING, INC.",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2319R",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OH",
            "license": "2319R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Medina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Ohio Masonic Home (Western Reserve Masonic Community)
• Therapy in Motion
• Theresa Tschannen, PHD LLC
• Donna Ann Thoerner, LPN
• Brooke Thomas, CNP

• Assisted Living Facility in Medina, OH
• Providers in Medina, 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 Oct 23, 2009; 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.