Kemper House Olmsted Falls

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

5957 Issued in OH

Legal business name

KEMPER HOUSE OLMSTED FALLS

Practice address

25880 Elm St
Olmsted Falls, OH 44138-1614

Phone

(440) 235-5500

Fax

(440) 235-5850

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Rita Haborak

Title

Administrator

Phone

(440) 235-5500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1740414960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25880 ELM ST",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381614",
            "telephone_number": "440-235-5500",
            "fax_number": "440-235-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 ELM ST",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381614",
            "telephone_number": "440-235-5500",
            "fax_number": "440-235-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPER HOUSE OLMSTED FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "HABORAK",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-235-5500"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OH",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy P Jack, DSP
• Michael Leo Jesse, DO
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• Joan T. Kamper, RPH
• James Thomas Kelly, MD
• Jean M Knudsen, CNP
• Melissa Ann Kronholz, D.D.S.
• Thomas J Kronholz, D.D.S.
• Leonard a Davidson DDS Inc
• Heathre Lynn Lopez

• Alzheimer Center (Dementia Center) in Olmsted Falls, OH
• Providers in Olmsted Falls, OH by specialty
• Alzheimer Center (Dementia Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.