Suburban Pavilion

LBN: Aj Suburban Pavilion Opco Llc
Suburban Pavilion is an health care organization with primary practice located at 20265 Emery Rd , North Randall OH 44128-4122. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Aj Suburban Pavilion Opco Llc can be contacted via phone (216) 475-8880, or through Williams, Hayley B via phone (216) 706-3936.

Contact Information

Primary practice address
20265 Emery Rd North Randall OH 44128-4122
Phone: (216) 475-8880
Fax: (216) 587-4806
Website:
Map and Directions
Authorized official contact:
Name: Williams, Hayley B
Phone: (216) 706-3936

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1373N Ohio

Profile Details

NPI number 1417451949
LBN Legal business name Aj Suburban Pavilion Opco Llc
DBA Doing business as Suburban Pavilion
Authorized official Williams, Hayley B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2018
Last updated Apr 26th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417451949 NPPES
Ohio Other 1373N OHIO DEPARTMENT OF HEALTH

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