Provider Demographics
NPI:1245606995
Name:NORWILL HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:NORWILL HEALTHCARE SERVICES LLC
Other - Org Name:NORWILL SKILLED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIETUNJA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-441-9669
Mailing Address - Street 1:3100 E 45TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1094
Mailing Address - Country:US
Mailing Address - Phone:216-441-9669
Mailing Address - Fax:216-373-4969
Practice Address - Street 1:3100 E 45TH ST
Practice Address - Street 2:SUITE 224
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1088
Practice Address - Country:US
Practice Address - Phone:216-324-1338
Practice Address - Fax:216-373-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care