Organization Active NPI

Vantage Place Inc

  • Assisted Living Facility (Mental Illness)
  • Cleveland, OH
National Provider Identifier
1841525672
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
5577 Issued in OH
Legal business name
VANTAGE PLACE INC
Practice address
3105 Franklin Blvd
Cleveland, OH 44113-2946
Phone
(216) 566-8707
Fax
(216) 566-8329
NPI assigned
Oct 13, 2009
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Mr. Bob Royer, R.N.
Title
Administrator
Phone
(216) 566-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 5577 OH Primary

Addresses

Primary practice location

3105 Franklin Blvd
Cleveland, OH 44113-2946

Mailing address

5579 Pearl Rd Ste 200
Parma, OH 44129-2555
Phone (440) 885-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1841525672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 PEARL RD STE 200",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292555",
            "telephone_number": "440-885-0100",
            "fax_number": "440-885-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 FRANKLIN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132946",
            "telephone_number": "216-566-8707",
            "fax_number": "216-566-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-566-8707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OH",
            "license": "5577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.