NPIMap

Organization Active NPI

Heatherdowns Operating Company LLC

  • Assisted Living Facility
  • Toledo, OH
National Provider Identifier
1750971149
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEATHERDOWNS OPERATING COMPANY LLC
Practice address
2401 Cass Rd
Toledo, OH 43614-3119
Phone
(419) 382-5050
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mr. Jeffrey Degyansky, LNHA
Title
Vice President of Operations
Phone
(330) 620-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2401 Cass Rd
Toledo, OH 43614-3119

Mailing address

2401 Cass Rd
Toledo, OH 43614-3119
Phone (419) 382-5050

Other identifiers 1

IdentifierTypeStateIssuer
1912ROtherOHLICENSURE

Other names 1

  • Heatherdowns Rehabilitation & Residential Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heatherdowns Operating Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1750971149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CASS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143119",
            "telephone_number": "419-382-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CASS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143119",
            "telephone_number": "419-382-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHERDOWNS OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DEGYANSKY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "330-620-7828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "1912R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heatherdowns Rehabilitation & Residential Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heatherdowns Rehabilitation & Residential Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.