Organization Active NPI

Orion Willow Park LLC

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1972794055
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ORION WILLOW PARK LLC
Doing business as
Willow Park Convalescent Home
Practice address
18810 Harvard Ave
Cleveland, OH 44122-6848
Phone
(216) 752-3600
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Donald D. Finney
Title
President
Phone
(614) 416-0600

Specialties & licenses 1

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

Addresses

Primary practice location

18810 Harvard Ave
Cleveland, OH 44122-6848

Mailing address

1 Easton Oval Ste 300
Columbus, OH 43219-6062
Phone (614) 416-0600

Other identifiers 1

IdentifierTypeStateIssuer
2737828MedicaidOH

Other names 1

  • Willow Park Convalescent Home 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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1972794055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTON OVAL STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196062",
            "telephone_number": "614-416-0600",
            "fax_number": "614-416-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18810 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441226848",
            "telephone_number": "216-752-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION WILLOW PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-416-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Park Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.