Provider Demographics
NPI:1578279097
Name:WESTLAKE ALF OPERATIONS LLC
Entity Type:Organization
Organization Name:WESTLAKE ALF OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-835-2110
Mailing Address - Street 1:PO BOX 21698
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-0698
Mailing Address - Country:US
Mailing Address - Phone:614-440-4393
Mailing Address - Fax:440-835-2115
Practice Address - Street 1:27633 BASSETT RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3010
Practice Address - Country:US
Practice Address - Phone:440-835-2110
Practice Address - Fax:440-835-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility