Organization Active NPI

Elderhood Community Services

  • Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1831359967
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ELDERHOOD COMMUNITY SERVICES
Practice address
2116 Dover Center Rd
Westlake, OH 44145-3154
Phone
(440) 871-0090
Fax
(440) 871-7289
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Chris G Hope
Title
Administrator
Phone
(440) 871-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2116 Dover Center Rd
Westlake, OH 44145-3154

Mailing address

2116 Dover Center Rd
Westlake, OH 44145-3154
Phone (440) 871-0090

Other names 1

  • Concord Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1831359967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 DOVER CENTER RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453154",
            "telephone_number": "440-871-0090",
            "fax_number": "440-871-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 DOVER CENTER RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453154",
            "telephone_number": "440-871-0090",
            "fax_number": "440-871-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERHOOD COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-871-0090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Health Services",
            "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 12, 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.