Organization Active NPI

Larchwood Health Group LLC

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1720410178
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Apr 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0092162MedicaidOH

Other names 1

  • Larchwood Village Retirement Community Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.