Provider Demographics
NPI:1538460738
Name:RV PROPERTIES LLC
Entity Type:Organization
Organization Name:RV PROPERTIES LLC
Other - Org Name:CARDINAL RETIREMENT VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-856-6000
Mailing Address - Street 1:144 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44481-1121
Mailing Address - Country:US
Mailing Address - Phone:330-856-6000
Mailing Address - Fax:330-856-6150
Practice Address - Street 1:171 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1773
Practice Address - Country:US
Practice Address - Phone:330-928-7888
Practice Address - Fax:330-928-6794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5867310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility