Organization Active NPI

The Patrician Inc.

Doing business as The Patrician Skilled Nursing Center

  • Skilled Nursing Facility
  • North Royalton, OH
National Provider Identifier
1871591230
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3073 Issued in OH
Legal business name
THE PATRICIAN INC.
Doing business as
The Patrician Skilled Nursing Center
Practice address
9001 W 130TH St
North Royalton, OH 44133-1011
Phone
(440) 237-3104
Fax
(440) 237-6730
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Mrs. Doula Gaitanaros
Title
President
Phone
(330) 225-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3073 OH Primary

Addresses

Primary practice location

9001 W 130TH St
North Royalton, OH 44133-1011

Mailing address

1026 Pearl Rd
Suite #5
Brunswick, OH 44212-2516
Phone (330) 225-8054

Other identifiers 1

IdentifierTypeStateIssuer
0414484MedicaidOH

Other names 1

  • The Patrician Skilled Nursing Center 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": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1871591230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 PEARL RD",
            "address_2": "SUITE #5",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122516",
            "telephone_number": "330-225-8054",
            "fax_number": "330-225-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 W 130TH ST",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331011",
            "telephone_number": "440-237-3104",
            "fax_number": "440-237-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATRICIAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "GAITANAROS",
        "authorized_official_first_name": "DOULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-225-8054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414484",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Patrician Skilled Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.