Embassy Stow, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMBASSY STOW, LLC

Doing business as

Regent of Stow

Practice address

3855 Fishcreek Rd
Stow, OH 44224-4305

Phone

(833) 783-0573

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas Ciccone, ESQ.

Title

Chief Compliance Officer

Phone

(216) 378-2050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regent of Stow Doing business as

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1427711530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 190",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225633",
            "telephone_number": "216-378-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 FISHCREEK RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244305",
            "telephone_number": "833-783-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY STOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "216-378-2050",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF HEALTH",
            "identifier": "2936R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent of Stow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Octavia S Durst, LISW-S
• Sarah Egger, CCC-SLP
• Nancy Lynne Ellinwood
• Hayley Nicole Elswick, LSW
• Crystal Lea Elton, LDO
• Emeriweg Stow LLC (Emeritus at Stow)
• Empowerme Rehabilitation, LLC
• Endless Care Solutions LLC
• Carolyn Mae Engels
• Kelley Engle, PHARMACIST

• Assisted Living Facility in Stow, OH
• Providers in Stow, 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 15, 2021; 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.