Provider Demographics
NPI:1265842025
Name:NCOP LLC
Entity Type:Organization
Organization Name:NCOP LLC
Other - Org Name:ORCHARDS OF NAPOLEON LIVING & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-706-3936
Mailing Address - Street 1:240 NORTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-7737
Mailing Address - Country:US
Mailing Address - Phone:419-599-4070
Mailing Address - Fax:419-592-4143
Practice Address - Street 1:240 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-7737
Practice Address - Country:US
Practice Address - Phone:419-599-4070
Practice Address - Fax:419-592-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1313N313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH365163Medicare Oscar/Certification