HARVEST GROVE LTC, LLC (NPI# 1548874316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548874316 |
| Entity Type | Organization |
| Organization Name | HARVEST GROVE LTC, LLC |
| Practice Address |
1113 Medina Rd Ste 700 Medina OH 44256-9335 |
| Mailing Address |
805 N Whittington Pkwy Ste 400 Louisville KY 40222-7101 |
| Practice Telephone | 8883226216 |
| Practice Fax Number | 8002589178 |
| Mailing Telephone | 5026277100 |
| Mailing Fax Number | 8552177498 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | JENNIFER YOWLER (CFO/MANAGING MEMBER) |
| Authorized Official Telephone | 5026277100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Harvest Grove LTC | Doing Business As Name - Organization |
| Street Address |
1113 MEDINA RD STE 700 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356808299 | Dragonfly Hospice Pharmacy | Pharmacy | 5075 Windfall Rd # 253, Medina, OH 44256-8613 | 2019-02-27 |
| 1255479242 | Paul R Grout | Pharmacy | 142 E Center St, Medina, NY 14103-1621 | 2007-02-02 |
| 1881794196 | Grand St Paul Cvs LLC | Pharmacy | 300 Highway 55, Medina, MN 55340-9530 | 2006-09-25 |
| 1922013861 | Marc Glassman Inc | Pharmacy | 1041 N Court St, Medina, OH 44256-1517 | 2006-07-29 |
| 1609802958 | Discount Drug Mart Inc | Pharmacy | 135 Harding St, Medina, OH 44256-1634 | 2006-06-25 |
| 1942720016 | Hmt Dermatology Associates, Inc. | Pharmacy | 5779 Wooster Pike, Suite A, Medina, OH 44256-8816 | 2017-06-21 |
| 1821376484 | Orleans Community Health | Pharmacy | 200 Ohio St, Medina, NY 14103-1063 | 2011-08-01 |
| 1437330776 | Tops Markets LLC | Pharmacy | 11200 Maple Ridge Rd, Medina, NY 14103-1844 | 2007-11-15 |
| 1124159058 | Hometown Pharmacy of Medina LLC | Pharmacy | 107 S Main St, Medina, TN 38355-9702 | 2007-03-09 |
| 1407887466 | K Mart Corp | Pharmacy | 1105 N Court St, Medina, OH 44256-1521 | 2006-07-06 |
| Find all providers in MEDINA | ||||
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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.