Provider Demographics
NPI:1215690680
Name:ECHELON ASSISTED LIVING OPERATIONS
Entity type:Organization
Organization Name:ECHELON ASSISTED LIVING OPERATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCHONOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-313-7000
Mailing Address - Street 1:635 N HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1871
Mailing Address - Country:US
Mailing Address - Phone:330-591-2777
Mailing Address - Fax:
Practice Address - Street 1:635 N HUNTINGTON ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1871
Practice Address - Country:US
Practice Address - Phone:330-591-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility