Msab Park Creek Center, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2021R Issued in OH

Legal business name

MSAB PARK CREEK CENTER, LLC

Practice address

10064 N Church Dr
Parma Heights, OH 44130-4066

Phone

(440) 842-5100

Fax

(440) 842-5147

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David A. Farkas

Title

Manager

Phone

(440) 842-5100

Specialties & licenses 1

Addresses

Other names 1

• Park Creek Center Doing business as

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1861718629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 N CHURCH DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304066",
            "telephone_number": "440-842-5100",
            "fax_number": "440-842-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 N CHURCH DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304066",
            "telephone_number": "440-842-5100",
            "fax_number": "440-842-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAB PARK CREEK CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "FARKAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-842-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2021R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Creek Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Miller, LISW
• Andrea Mitchell
• Maryann Mitchell
• Medhat Morgan, FNP
• Elizabeth M Mramor, LISW-S
• Branka Mudrinic
• Joan Kahendi Mugasia, RN
• Amy Jean Mullen, ABOC
• Kayla Muro
• Danielle Eleanor Musat, MT-BC

• Assisted Living Facility in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.