Active NPI
Larchwood Health Group LLC
- Skilled Nursing Facility
- Cleveland, OH
National Provider Identifier
1720410178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LARCHWOOD HEALTH GROUP LLC
- Doing business as
- Larchwood Village Retirement Community
- Practice address
- 4110 Rocky River Dr
Cleveland, OH 44135-1175 - Phone
- (440) 937-0425
- NPI assigned
- Aug 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melissa Verzi
- Title
- Cfo
- Phone
- (440) 937-0425
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4110 Rocky River Dr
Cleveland, OH 44135-1175
Mailing address
14518 Detroit Ave Rear
Lakewood, OH 44107-4368
Phone (216) 273-7532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092162 | Medicaid | OH |
Other names 1
- Larchwood Village Retirement Community
National Provider Directory
National Provider DirectoryLocations
14518 Detroit Ave
Rear
Lakewood, OH 44107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397088000000",
"number": "1720410178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14518 DETROIT AVE REAR",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074368",
"telephone_number": "216-273-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441351175",
"telephone_number": "440-937-0425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARCHWOOD HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-07",
"last_updated": "2014-04-10",
"status": "A",
"authorized_official_last_name": "VERZI",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "440-937-0425",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0092162",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Larchwood Village Retirement Community",
"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 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.