Legacy Place Twinsburg,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1002990 Issued in OH

Legal business name

LEGACY PLACE TWINSBURG,LLC

Doing business as

Legacy Place Twinsburg

Practice address

9928 Vail Dr
Twinsburg, OH 44087-2972

Phone

(216) 898-8399

Fax

(216) 898-8455

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Daskal

Title

President

Phone

(216) 898-8399

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Legacy Place Twinsburg Doing business as

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1932435799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9928 VAIL DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872972",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PLACE TWINSBURG,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "DASKAL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-898-8399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1002990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Place Twinsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Laster, RN
• Laura Adelman DMD & Associates, Inc.
• LDW, LLC
• Aloise T Leeflora
• Legacy Community Healthcare, LLC
• Legacy Twinsburg Operating Company, LLC
• Andrew Thomas Leggett, PHARMD
• Carson Tanner Leo
• Lori R. Leonard, DO
• Megan Elise Leyda, O.D.

• Skilled Nursing Facility in Twinsburg, OH
• Providers in Twinsburg, 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 May 6, 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.