Poland Way Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2751R Issued in OH

Legal business name

POLAND WAY ASSISTED LIVING, LLC

Practice address

6501 Poland Way
Poland, OH 44514-9909

Phone

(330) 757-3600

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Edward Reese Jr.

Title

Director of Business Development

Phone

(330) 726-5790

Specialties & licenses 1

Addresses

Other names 1

• The Inn at Poland Way Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1992212484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 POLAND WAY",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445149909",
            "telephone_number": "330-757-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 POLAND WAY",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445149909",
            "telephone_number": "330-757-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAND WAY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "330-726-5790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2751R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Inn at Poland Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Care Counseling LLC
• Preferred Prosthetics and Orthotics, Inc.
• Prescription Center

• All providers in Poland, OH
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.