THE INN AT NORTHWOOD VILLAGE (NPI# 1265830350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265830350 |
| Entity Type | Organization |
| Organization Name | THE INN AT NORTHWOOD VILLAGE |
| Practice Address |
5799 N Wooster Avenue Ext Nw Dover OH 44622-6400 |
| Practice Telephone | 2348014041 |
| Mailing Telephone | 2348014041 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | SHELLY WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2348014041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2661R | OH | Nursing & Custodial Care Facilities |
| Street Address |
5799 N WOOSTER AVENUE EXT NW |
| City | DOVER |
| State | OH |
| Zip Code | 44622-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| 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 |
|---|---|---|---|---|
| 1922401488 | Patty's House 4 LLC | Assisted Living Facility | 2805 Jerry Smith Rd, Dover, FL 33527-5449 | 2014-09-29 |
| 1194156489 | Rafael Avecillas | Assisted Living Facility | 2644 Fritzke Rd, Dover, FL 33527-3433 | 2013-12-11 |
| 1174745624 | Wentworth Home for The Aged | Assisted Living Facility | 795 Central Avenue, Dover, NH 03820 | 2007-05-03 |
| 1366592545 | Emeritus Corporation | Assisted Living Facility | 150 Saulsbury Road, Dover, DE 19904 | 2007-01-11 |
| 1689613523 | Hennis Care Centre of Dover Inc. | Assisted Living Facility | 1720 N Cross St, Dover, OH 44622-1043 | 2006-06-06 |
| 1407803620 | Dover Alf Limited Liability Company | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2006-05-31 |
| 1730673674 | Horizon Care Leasing, LLC | Assisted Living Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2018-06-14 |
| 1174077903 | Dover Aid II Opco LLC | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2016-08-10 |
| 1851763718 | State Senior Care, LLC | Assisted Living Facility | 21 N State St, Dover, DE 19901-3802 | 2015-10-30 |
| 1487957650 | 1203 Walker Road Operations LLC | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2010-12-10 |
| Find all providers in DOVER | ||||
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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.