SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC. (NPI# 1215573431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215573431 |
| Entity Type | Organization |
| Organization Name | SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC. |
| Practice Address |
4100 N River Rd Ne Warren OH 44484-1041 |
| Mailing Address |
5525 Silica Rd Austintown OH 44515-1002 |
| Practice Telephone | 3308569232 |
| Practice Fax Number | 3308562571 |
| Mailing Telephone | 3305304038 |
| Mailing Fax Number | 3305304039 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | VICTORIA BROWN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3305304038 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0375874 | 05 |
| Other Name | Type Code |
|---|---|
| Shepherd of the Valley Howland | 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 |
| 1093808529 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Skilled Nursing Facility | 7148 West Blvd., Youngstown, OH 44512-4336 | 2006-10-02 |
| 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 |
| 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 |
4100 N RIVER RD NE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659725364 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 400 S Mckinley St, Warren, MN 56762-1439 | 2016-04-19 |
| 1992058663 | Omni Manor, Inc. | Assisted Living Facility | 1 Windsor Place, Warren, OH 44483 | 2012-10-18 |
| 1508029679 | Terreforme Enterprises Inc | Assisted Living Facility | 596 Champion Ave W, Warren, OH 44483-1312 | 2008-07-08 |
| 1003015017 | Cooperative Housing Corporation | Assisted Living Facility | 2 Lindbergh Ave, Warren, NJ 07059-5227 | 2007-07-11 |
| 1780702324 | Ca Warren LLC | Assisted Living Facility | 274 King George Rd, Warren, NJ 07059-5157 | 2007-03-26 |
| 1033247085 | Community Commons | Assisted Living Facility | 1340 Mahoning Ave Nw, Warren, OH 44483-2084 | 2007-03-01 |
| 1831648450 | Omni Manor, Inc. | Assisted Living Facility | 2 Windsor Pl, Warren, OH 44483-1456 | 2016-09-23 |
| 1669899746 | Ksms Clearview Lantern, LLC | Assisted Living Facility | 596 Champion Ave W, Warren, OH 44483-1312 | 2014-03-26 |
| 1215217690 | Warren Senior Care, LLC | Assisted Living Facility | 274 King George Rd, Warren, NJ 07059-5157 | 2011-08-17 |
| 1417260092 | Patient Support Services | Assisted Living Facility | 28120 Dequindre Rd, Warren, MI 48092-5603 | 2010-07-23 |
| Find all providers in WARREN | ||||
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| 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.