Randall Residence at Royalton Woods

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RANDALL RESIDENCE AT ROYALTON WOODS

Doing business as

Royalton Woods

Practice address

14277 State Rd
North Royalton, OH 44133-5130

Phone

(440) 582-4111

Fax

(440) 237-1226

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Randall

Title

Ceo

Phone

(269) 624-4841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royalton Woods Doing business as

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1538616503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14277 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335130",
            "telephone_number": "440-582-4111",
            "fax_number": "440-237-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14277 STATE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335130",
            "telephone_number": "440-582-4111",
            "fax_number": "440-237-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL RESIDENCE AT ROYALTON WOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-624-4841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royalton Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in North Royalton, OH
• Providers in North Royalton, 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 Sep 7, 2016; 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.