Organization Active NPI

Garden Lake SNF Operations LLC

  • Skilled Nursing Facility
  • Toledo, OH
National Provider Identifier
1639018989
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GARDEN LAKE SNF OPERATIONS LLC
Practice address
955 Garden Lake Pkwy
Toledo, OH 43614-2777
Phone
(419) 382-2200
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Matis Mark Friedman
Title
Authorized Official
Phone
(216) 282-9402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

955 Garden Lake Pkwy
Toledo, OH 43614-2777

Mailing address

955 Garden Lake Pkwy
Toledo, OH 43614-2777
Phone (419) 382-2200

Other names 1

  • Advanced Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1639018989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 GARDEN LAKE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142777",
            "telephone_number": "419-382-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 GARDEN LAKE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142777",
            "telephone_number": "419-382-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN LAKE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MATIS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "216-282-9402"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.