Provider Demographics
NPI:1982302097
Name:SPRING HOME OPERATIONS LLC
Entity type:Organization
Organization Name:SPRING HOME OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VPO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGYANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:330-620-7828
Mailing Address - Street 1:23366 COMMERCE PARK STE 102A
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5801
Mailing Address - Country:US
Mailing Address - Phone:216-412-2300
Mailing Address - Fax:
Practice Address - Street 1:46 W JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9401
Practice Address - Country:US
Practice Address - Phone:609-404-1099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPRING HOME OPERATIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility