Provider Demographics
NPI:1164100715
Name:STRONGSVILLE OPS, LLC
Entity Type:Organization
Organization Name:STRONGSVILLE OPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSOPUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-241-8211
Mailing Address - Street 1:5900 CLEARWATER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8961
Mailing Address - Country:US
Mailing Address - Phone:952-241-8211
Mailing Address - Fax:952-241-8232
Practice Address - Street 1:18090 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6960
Practice Address - Country:US
Practice Address - Phone:440-238-3777
Practice Address - Fax:952-241-8232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility