The Village at Marymount

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2207R Issued in OH

Legal business name

THE VILLAGE AT MARYMOUNT

Doing business as

Marymount Place

Practice address

5100 Marymount Village Dr
Garfield Heights, OH 44125-2982

Phone

(216) 332-1070

Fax

(216) 332-1742

NPI assigned

Jul 31, 2008

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffry A Myers

Title

Chief Operating Officer

Phone

(216) 587-8627

Specialties & licenses 1

Addresses

Other names 1

• Marymount Place Doing business as

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1780840660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 MARYMOUNT VILLAGE DR",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252982",
            "telephone_number": "216-332-1070",
            "fax_number": "216-332-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MARYMOUNT VILLAGE DR",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252982",
            "telephone_number": "216-332-1070",
            "fax_number": "216-332-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE AT MARYMOUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-587-8627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2207R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marymount Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.