CSH-Ing Woodside Village LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6029 Issued in OH

Legal business name

CSH-ING WOODSIDE VILLAGE LP

Doing business as

Woodside Village

Practice address

19455 Rockside Rd
Bedford, OH 44146-2000

Phone

(440) 439-8666

NPI assigned

Mar 14, 2008

Organization subpart

Yes

Parent organization

CSH-INGRE LLCAs reported in NPPES

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

Authorized official

Name

Jon A Deluca

Title

Cfo

Phone

(813) 287-3900

Specialties & licenses 1

Addresses

Other names 1

• Woodside Village Doing business as

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1447421730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 BAY CENTER DR",
            "address_2": "SUITE #600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093444",
            "telephone_number": "813-287-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462000",
            "telephone_number": "440-439-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSH-ING WOODSIDE VILLAGE LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CSH-INGRE LLC",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-287-3900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "6029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodside Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seanteona Connell
• Natalie Corrin
• Kayla Craig, QBHS
• Barbara Crawford
• Eric J Csernyik, DO
• Ashley Cunningham
• Deangelo Cunningham
• Jamelia Cheri Cunningham
• Faye Curry, LSW
• Quinten D Curtis

• Assisted Living Facility in Bedford, OH
• Providers in Bedford, 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 Mar 14, 2008; 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.