Active NPI
Park Creek Center LLC
- Assisted Living Facility
- Parma Heights, OH
National Provider Identifier
1912860750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PARK CREEK CENTER LLC
- Practice address
- 10064 N Church Dr
Parma Heights, OH 44130-4066 - Phone
- (917) 544-4713
- NPI assigned
- Dec 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avi Lustig
- Title
- Manager
- Phone
- (917) 544-4713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
10064 N Church Dr
Parma Heights, OH 44130-4066
Mailing address
10064 N Church Dr
Parma Heights, OH 44130-4066
National Provider Directory
National Provider DirectoryLocations
10064 N Church Dr
Parma Heights, OH 44130
Phone (440) 842-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1912860750",
"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"
},
{
"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": "917-544-4713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK CREEK CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "LUSTIG",
"authorized_official_first_name": "AVI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-544-4713"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.