Active NPI
Larchwood Care LLC
- Assisted Living Facility
- Cleveland, OH
National Provider Identifier
1629531058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LARCHWOOD CARE LLC
- Doing business as
- West Park Commons
- Practice address
- 4106 Rocky River Dr
Cleveland, OH 44135-1174 - Phone
- (216) 941-6100
- Fax
- (216) 377-7322
- NPI assigned
- Apr 11, 2019
- Organization subpart
- Yes
- Parent organization
- LARCHWOOD CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lowell Prentice Thompson II
- Title
- Managing Member
- Phone
- (216) 952-9358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4106 Rocky River Dr
Cleveland, OH 44135-1174
Mailing address
4106 Rocky River Dr
Cleveland, OH 44135-1174
Phone (216) 941-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2493R | Other | OH | LICENSE NUMBER |
Other names 1
- West Park Commons
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 |
|---|---|---|---|
| 36D2246681 | West Park Commons | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Larchwood Care LLC
- Part of
- Larchwood Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1013482314
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1013482314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1629531058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441351174",
"telephone_number": "216-941-6100",
"fax_number": "216-377-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441351174",
"telephone_number": "216-941-6100",
"fax_number": "216-377-7322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARCHWOOD CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LARCHWOOD CARE LLC",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "LOWELL",
"authorized_official_middle_name": "PRENTICE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "216-952-9358",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2493R",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Park Commons",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.