Provider Demographics
NPI:1699086942
Name:NORTH PARK CARE CENTER LLC
Entity type:Organization
Organization Name:NORTH PARK CARE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:CALABRASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-302-2719
Mailing Address - Street 1:14803 HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-3065
Mailing Address - Country:US
Mailing Address - Phone:216-803-1995
Mailing Address - Fax:216-803-1999
Practice Address - Street 1:14801 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:BROOK PARK
Practice Address - State:OH
Practice Address - Zip Code:44142-3092
Practice Address - Country:US
Practice Address - Phone:216-803-1995
Practice Address - Fax:216-803-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility