Al Sagamore Hills Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2271R Issued in OH

Legal business name

AL SAGAMORE HILLS OPERATIONS, LLC

Doing business as

Elmcroft of Sagamore Hills

Practice address

997 W Aurora Rd
Sagamore Hills, OH 44067-1687

Phone

(330) 908-1166

Fax

(330) 988-1156

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. William Patrick Mulloy II

Title

President

Phone

(502) 753-6000

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Sagamore Hills 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": "1871759688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000",
            "fax_number": "502-753-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W AURORA RD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440671687",
            "telephone_number": "330-908-1166",
            "fax_number": "330-988-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL SAGAMORE HILLS OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MULLOY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-753-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2271R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Sagamore Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sagamore Hills, OH
• Providers in Sagamore Hills, 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 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.