Legacy Willoughby Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGACY WILLOUGHBY OPERATING COMPANY, LLC

Practice address

37603 Euclid Ave
Willoughby, OH 44094-5923

Phone

(440) 951-5551

Fax

(440) 951-1914

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Jim Taylor

Title

Ceo

Phone

(440) 590-0969

Specialties & licenses 1

Addresses

Other names 1

• Legacy Willoughby Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Coleman, MD

  • Emergency Medicine Physician
  • Brookpark, OH
  • NPI 1992781504
  NPD (past)
• Dharmesh Mehta, M.D.

  • Internal Medicine Physician
  • Mayfield Village, OH
  • NPI 1629381363
  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1679278709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37603 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945923",
            "telephone_number": "440-951-5551",
            "fax_number": "440-951-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY WILLOUGHBY OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-590-0969"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Willoughby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy J. Lazarescu, D.O.
• Wayne Leach, LISW
• Nicholas Leciejewski
• Jessica Lee, AA
• Lefton Inc
• Erika Lee Lehman, RN
• Jessica Lehman, PHARMD
• Mark Lehman, M.D.
• Lauren Lavonne Lemons
• Kathleen Lenarcic

• Skilled Nursing Facility in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.