Fairview Village Retirement Community, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIRVIEW VILLAGE RETIREMENT COMMUNITY, LTD

Doing business as

Larchwood Villlage Retirement Community

Practice address

4110 Rocky River Dr
Cleveland, OH 44135-1175

Phone

(216) 941-6100

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By 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

Mrs. Janice Marie Collins, LNHA

Title

Administrator

Phone

(330) 920-6555

Specialties & licenses 1

Addresses

Other names 1

• Larchwood Villlage Retirement Community Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902958267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351175",
            "telephone_number": "216-941-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351175",
            "telephone_number": "216-941-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW VILLAGE RETIREMENT COMMUNITY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-920-6555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larchwood Villlage Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairview Hospital
• Fairview Hospital
• Fairview Hospital
• Fairview Hospital
• Fairview Hospital
• Nina Faisal
• Emonica Faison, ANP-BC
• Laura Faison, RN
• Faith Avenue Care LLC
• Faith Haven Private Care LLC

• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.