PARK VISTA IL OPS LLC (NPI# 1235739459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235739459 |
| Entity Type | Organization |
| Organization Name | PARK VISTA IL OPS LLC |
| Practice Address |
1216 5th Ave Youngstown OH 44504-1605 |
| Practice Telephone | 3307462944 |
| Mailing Telephone | 3307462944 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | SHLOMO MUSHELL (MANAGER) |
| Authorized Official Telephone | 9172515131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
1216 5TH AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659367639 | Ohio Living Communities | Skilled Nursing Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2005-09-23 |
| 1639709249 | Park Vista Snf Ops, LLC | Skilled Nursing Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2020-01-23 |
| 1952965428 | Ohio Living Communities | Assisted Living Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2019-04-30 |
| 1407271240 | Deanna Lane | Physical Therapy Assistant | 1216 5th Ave, Youngstown, OH 44504-1605 | 2014-03-04 |
| 1891901336 | Brett Stare | Physical Therapist | 1216 5th Ave, Youngstown, OH 44504-1605 | 2007-05-14 |
| 1770650996 | Lucille Zinz | Dietitian, Registered | 1216 5th Ave, Park Vista Retirement Community, Youngstown, OH 44504-1605 | 2006-11-30 |
| 1003981853 | Matthew Francis Good | Dietitian, Registered | 1216 5th Ave, Youngstown, OH 44504-1605 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1902404098 | Carol Noss | Custodial Care Facility | 6481 Dale Dr, Brookpark, OH 44142-3454 | 2020-10-12 |
| 1679189138 | Four Seasons Ranch, LLC. | Custodial Care Facility | 5625 Elm Hill Dr, Solon, OH 44139-1943 | 2020-09-21 |
| 1336754696 | David L Thompson | Custodial Care Facility | 59 West St, Jackson, OH 45640-1566 | 2020-09-14 |
| 1598393092 | Ebony Monique Eaddie | Custodial Care Facility | 3523 Woodridge Rd, Cleveland Heights, OH 44121-1533 | 2020-03-30 |
| 1710536354 | Dare To Be Different, LLC | Custodial Care Facility | 6303 Luther Ave, Cleveland, OH 44103-2575 | 2019-09-06 |
| 1396309258 | Patricia Sims | Custodial Care Facility | 6648 Afton Ave, Cincinnati, OH 45213-1130 | 2019-04-26 |
| 1285190264 | Felicia Hawkins | Custodial Care Facility | 2942 Banning Rd Apt 220, Cincinnati, OH 45239-5584 | 2019-02-14 |
| 1225507304 | Shirleen Barbara Ross | Custodial Care Facility | 3315 Mayo St Apt 111, Toledo, OH 43611-3260 | 2018-11-18 |
| 1770050023 | Cierra Thompson | Custodial Care Facility | 5599 Westerville Rd, Westerville, OH 43081-9365 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
Please comment or provide details below to improve the information on PARK VISTA IL OPS LLC.
| 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.