Legacy North Royalton Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGACY NORTH ROYALTON OPERATING COMPANY, LLC

Doing business as

Legacy North Royalton

Practice address

9055 W Sprague Rd
Cleveland, OH 44133-1285

Phone

(440) 345-9300

Fax

(440) 345-9300

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 North Royalton Doing business as

Practitioners 3

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

• Geehan M Botros, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1023263423
  NPD (past)
• Matthew Joseph Frantz, DO

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1467439513
  NPD (past)
• Thomas Emil Mandat, MD

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1881792794
  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": "1694736000000",
    "number": "1700581832",
    "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": "440-898-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 W SPRAGUE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441331285",
            "telephone_number": "440-345-9300",
            "fax_number": "440-345-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY NORTH ROYALTON OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "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 North Royalton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legacy Built Homecare
• Legacy Care Supports
• Legacy Health and Wellness
• Legacy Home Care Inc
• Legacy Medical Transportation
• Emily Legan, CNP
• Jacob Legan, DAT, ATC
• Kimberlee Legarth, RN
• Legend Treatment Center of Cleveland, LLC
• Legend Treatment Center of Cleveland, LLC

• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, 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 Sep 15, 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.