PARK CREEK CENTER (NPI# 1184864126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184864126 |
| Entity Type | Organization |
| Organization Name | PARK CREEK CENTER |
| Other Organization Name | SPC SENIOR MANAGEMENT, LLC |
| Practice Address |
10064 N Church Dr Parma Heights OH 44130-4066 |
| Practice Telephone | 4408425100 |
| Practice Fax Number | 4408425147 |
| Mailing Telephone | 4408425100 |
| Mailing Fax Number | 4408425147 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |
| Authorized Official Name | LINDA A FELICE (ADMINISTRATOR) |
| Authorized Official Telephone | 4408425100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2021R | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2781468 | 05 |
| Other Name | Type Code |
|---|---|
| SPC Senior Management, LLC | Other Name - Individual/Organization |
| Street Address |
10064 N CHURCH DR |
| City | PARMA HEIGHTS |
| State | OH |
| Zip Code | 44130-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861718629 | Msab Park Creek Center, LLC | Assisted Living Facility | 10064 N Church Dr, Parma Heights, OH 44130-4066 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| 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 |
|---|---|---|---|---|
| 1861718629 | Msab Park Creek Center, LLC | Assisted Living Facility | 10064 N Church Dr, Parma Heights, OH 44130-4066 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487899 | Nancy Lee Ward | Assisted Living Facility | 15069 Matville Rd, Orient, OH 43146-9725 | 2020-11-04 |
| 1235738014 | Country Living | Assisted Living Facility | 13028 Us Highway 52, West Portsmouth, OH 45663-8909 | 2020-10-22 |
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1568075778 | Transparent Care LLC | Assisted Living Facility | 7791 Heathermoor Dr, Columbus, OH 43235-4568 | 2020-08-26 |
| 1649891151 | The Pines Alf Inc. | Assisted Living Facility | 18144 Claridon Troy Rd, Hiram, OH 44234-9698 | 2020-05-06 |
| 1982238754 | Jennings Center for Older Adults | Assisted Living Facility | 10950 Pinegrove Trl, Chardon, OH 44024-8389 | 2020-03-02 |
| 1881228211 | Ashford of Grove City, LLC | Assisted Living Facility | 3197 Southwest Blvd, Grove City, OH 43123-2349 | 2020-02-25 |
| 1326671827 | With Grace, LLC | Assisted Living Facility | 20129 Scottsdale Blvd, Shaker Heights, OH 44122-6460 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | PARMA HEIGHTS |
| Zip Code | 44130 |
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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.