Provider Demographics
NPI:1447238399
Name:NORTH PARK RETIREMENT COMMUNITY CENTER, INC.
Entity Type:Organization
Organization Name:NORTH PARK RETIREMENT COMMUNITY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KILBANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-250-4080
Mailing Address - Street 1:14801 HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-3092
Mailing Address - Country:US
Mailing Address - Phone:216-267-0555
Mailing Address - Fax:216-267-0883
Practice Address - Street 1:14801 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-3092
Practice Address - Country:US
Practice Address - Phone:216-267-0555
Practice Address - Fax:216-267-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-02
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility