Van Gorder Manor in Willoughby - Assisted Living Facility
Van Gorder Manor - NPI 1598923575
Van Gorder Manor is a Assisted Living Facility in Willoughby, Ohio. Van Gorder Manor practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Van Gorder Manor is 1598923575. The last update date is 2008-05-27.
Van Gorder Manor's current location address is 37819 Euclid Ave, Willoughby, Ohio. You can contact this provider via phone number 4409465213 and fax number 4409420244. The mailing address for Van Gorder Manor is 37819 Euclid Ave, Willoughby, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Van Gorder Manor |
|---|---|
| Address | 37819 Euclid Ave, Willoughby, Ohio |
| Phone Number | 4409465213 |
| Fax Number | 4409420244 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPER |
|---|---|
| Authorized Official Name | Wagner Lee Michelle |
| Telephone Number | 4409465213 |
NPI Number Detail
| NPI Number | 1598923575 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 37819 Euclid Ave |
|---|---|
| City | Willoughby |
| State | Ohio (OH) |
| Post Code | 440945900 |
| Phone Number | 4409465213 |
| Fax Number | 4409420244 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 1954 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique identifier code issued to Van Gorder Manor by the Centers for Medicare & Medicaid Services (CMS)?
The Van Gorder Manor has been assigned the NPI (National Provider Identifier) 1598923575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Van Gorder Manor?
The Van Gorder Manor is situated at 37819 Euclid Ave, in the city of Willoughby, state of OH, with the zip code 440945900.
What is Van Gorder Manor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Van Gorder Manor's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598923575 to Van Gorder Manor?
The Centers for Medicare & Medicaid Services assigned the 1598923575 to Van Gorder Manor on 2008-05-27.
As of what date were the Van Gorder Manor's details last updated?
The information pertaining to the Van Gorder Manor, including its address, specialty, and other details, was most recently updated on 2008-05-27.