Park Village Assisted Living Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARK VILLAGE ASSISTED LIVING OPERATIONS LLC

Practice address

1525 N Crater Ave
Dover, OH 44622-9500

Phone

(330) 447-3490

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey H Tucker

Title

Chief Financial Officer

Phone

(330) 447-3490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1407584998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N CRATER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229500",
            "telephone_number": "330-447-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N CRATER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229500",
            "telephone_number": "330-447-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VILLAGE ASSISTED LIVING OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-447-3490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthounited, Inc.
• Julio Ivan Ortiz Roca
• Christi Elaine Otte, CDCA
• Larry Nolan Owen, R.PH.
• Mason Page
• Park Village Health Care Center Inc
• Marianne Lynn Pate, RN
• Pathway Practice, Inc.
• Crystal Patterson, RN
• Sherry A Patterson, R.N.

• Assisted Living Facility in Dover, OH
• Providers in Dover, 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 Aug 11, 2022; 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.