Gardens of Western Reserve Assisted Living Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2292R Issued in OH

Legal business name

GARDENS OF WESTERN RESERVE ASSISTED LIVING RESIDENCE

Practice address

9975 Greentree Pkwy
Streetsboro, OH 44241-4328

Phone

(330) 342-9100

Fax

(330) 342-9393

NPI assigned

Sep 10, 2008

Last updated

Sep 10, 2008By 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. Rich A Piekarski

Title

Administrator

Phone

(330) 928-4500

Specialties & licenses 1

Addresses

Tax ID family

Gardens of Western Reserve Assisted Living Residence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gardens of Western Reserve Assisted Living Residence

  • Assisted Living Facility
  • Cuyahoga Falls, OH
  • NPI 1891944286
  NPD tax ID

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1558510958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 GREENTREE PKWY",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-342-9100",
            "fax_number": "330-342-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 GREENTREE PKWY",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414328",
            "telephone_number": "330-342-9100",
            "fax_number": "330-342-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS OF WESTERN RESERVE ASSISTED LIVING RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "PIEKARSKI",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-928-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2292R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Foss, MD
• Lindsey Foster, O.D.
• Michelle K Foster
• Mason Fowler, PHARMD
• Tonya M Freeman, CCCSLP, BCBA
• Gentle Dental Streetsboro, Dr. Alwilleed Kalout DDS LLC (Gentle Dental)
• Gentle Haven Recovery Home for Women
• Gentle Haven, LLC
• Jean Giunto, OTA/L
• Charlene Marie Glass-Frasca

• Assisted Living Facility in Streetsboro, OH
• Providers in Streetsboro, 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 10, 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.