Active NPI
Orchard Grove Healthcare Group, LLC
Doing business as Orchard Grove
- Skilled Nursing Facility
- Bellevue, OH
National Provider Identifier
1508165226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ORCHARD GROVE HEALTHCARE GROUP, LLC
- Doing business as
- Orchard Grove
- Practice address
- 670 Flat Rock Rd
Bellevue, OH 44811-9486 - Phone
- (419) 484-1111
- Fax
- (419) 484-4048
- NPI assigned
- Mar 21, 2011
- Last updated
- Feb 14, 2022
- Organization subpart
- Yes
- Parent organization
- SABER HEALTHCARE HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William I Weisberg
- Title
- President
- Phone
- (216) 292-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
670 Flat Rock Rd
Bellevue, OH 44811-9486
Mailing address
23700 Commerce Park
Beachwood, OH 44122-5827
Phone (216) 292-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3135897 | Medicaid | OH |
Other names 1
- Orchard Grove
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0947572 | Orchard Grove Laboratory | Certificate of waiver | Jun 17, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644796800000",
"number": "1508165226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23700 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225827",
"telephone_number": "216-292-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 FLAT ROCK RD",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119486",
"telephone_number": "419-484-1111",
"fax_number": "419-484-4048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORCHARD GROVE HEALTHCARE GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
"enumeration_date": "2011-03-21",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A",
"authorized_official_last_name": "WEISBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-292-5706"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3135897",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orchard Grove",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Paragon Rehabilitation
- Sandra Parrella, LMT
- Namrata Nareshkumar Patel
- Max Louis Pavlock, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.