SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC. (NPI# 1093808529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093808529 |
| Entity Type | Organization |
| Organization Name | SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC. |
| Other Organization Name | SHEPHERD OF THE VALLEY - BOARDMAN |
| Practice Address |
7148 West Blvd. Youngstown OH 44512-4336 |
| Mailing Address |
5525 Silica Road Austintown OH 44515-1002 |
| Practice Telephone | 3307269061 |
| Mailing Telephone | 3305304038 |
| Mailing Fax Number | 3305304039 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VICTORIA N. BROWN (ASSOCIATE DIRECTOR/CFO) |
| Authorized Official Telephone | 3305304038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | 4706 | OH | Nursing & Custodial Care Facilities |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0346030 | 05 |
| Other Name | Type Code |
|---|---|
| Shepherd of the Valley - Boardman | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629419239 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Assisted Living Facility | 301 W Western Reserve Rd, Poland, OH 44514-3527 | 2013-07-11 |
| 1689769846 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Durable Medical Equipment & Medical Supplies | 4100 N River Rd Ne, Warren, OH 44484-1041 | 2006-10-04 |
| 1609960350 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Home Health | 5525 Silica Road, Austintown, OH 44515-1002 | 2006-10-03 |
| 1710071162 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Durable Medical Equipment & Medical Supplies | 1501 Tibbetts Wick Rd, Girard, OH 44420-1206 | 2006-10-02 |
| 1215573431 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Assisted Living Facility | 4100 N River Rd Ne, Warren, OH 44484-1041 | 2019-11-22 |
| 1447797022 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Skilled Nursing Facility | 301 W Western Reserve Rd, Poland, OH 44514-3527 | 2017-01-20 |
| 1295169100 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Assisted Living Facility | 1501 Tibbetts Wick Rd, Girard, OH 44420-1206 | 2013-08-27 |
| Street Address |
7148 WEST BLVD. |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1275758666 | Danridge Nursing Home Inc | Skilled Nursing Facility | 31 Maranatha Ct, Youngstown, OH 44505-4970 | 2007-04-13 |
| 1508967084 | Camelot Arms Care Center, Inc. | Skilled Nursing Facility | 2958 Canfield Rd, Youngstown, OH 44511-2805 | 2006-09-26 |
| 1194826644 | Essex Healthcare Corporation | Skilled Nursing Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2006-09-26 |
| 1902816739 | Omni Manor, Inc. | Skilled Nursing Facility | 3245 Vestal Rd, Youngstown, OH 44509-1062 | 2006-08-08 |
| 1528078342 | Omni Manor, Inc. | Skilled Nursing Facility | 1735 Belmont Ave, Youngstown, OH 44504-1111 | 2006-08-08 |
| 1720098460 | Liberty Health Care Center, Inc. | Skilled Nursing Facility | 1355 Churchill Hubbard Rd, Youngstown, OH 44505-1346 | 2006-08-08 |
| 1861419814 | Youngstown Area Jewish Federation | Skilled Nursing Facility | 517 Gypsy Ln, Youngstown, OH 44504-1314 | 2006-07-16 |
| 1760419915 | Burgundi Manor Operating Company, LLC | Skilled Nursing Facility | 31 Marantha Drive, Youngstown, OH 44505-4505 | 2006-06-26 |
| 1982649869 | Carrington South Healthcare Center | Skilled Nursing Facility | 850 E Midlothian Blvd, Youngstown, OH 44502 | 2006-06-17 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
Please comment or provide details below to improve the information on SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.