Active NPI
Olmsted Manor Retirement Community LTD.
Doing business as The Inn At Joshua Tree
- Assisted Living Facility
- Westlake, OH
National Provider Identifier
1730334137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2504R
- Legal business name
- OLMSTED MANOR RETIREMENT COMMUNITY LTD.
- Doing business as
- The Inn At Joshua Tree
- Practice address
- 26612 Center Ridge Rd
Westlake, OH 44145 - Phone
- (440) 250-4080
- NPI assigned
- Nov 26, 2008
- Last updated
- Jun 14, 2018
- 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
- Michelle Mroczka
- Title
- Business Office Manager
- Phone
- (440) 835-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2504R | OH | Primary |
Addresses
Primary practice location
26612 Center Ridge Rd
Westlake, OH 44145
Mailing address
27420 Mill Rd
North Olmsted, OH 44070-3190
Phone (440) 779-8886
Other names 1
- The Inn At Joshua Tree
National Provider Directory
National Provider Directory- Tax ID family
- Joshua Tree Care Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Olmsted Manor - Laboratory
- Clinical Medical Laboratory
- North Olmsted, OH
- NPI 1750544813
-
dba Joshua Tree Care Center
- Skilled Nursing Facility
- North Olmsted, OH
- NPI 1235115387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528934400000",
"number": "1730334137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27420 MILL RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440703190",
"telephone_number": "440-779-8886",
"fax_number": "440-779-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26612 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-250-4080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLMSTED MANOR RETIREMENT COMMUNITY LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-26",
"last_updated": "2018-06-14",
"status": "A",
"authorized_official_last_name": "MROCZKA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "440-835-1181"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "2504R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Inn At Joshua Tree",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.