Provider Demographics
NPI:1740213842
Name:WEST VIEW MANOR INC
Entity Type:Organization
Organization Name:WEST VIEW MANOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:330-264-8640
Mailing Address - Street 1:1715 MECHANICSBURG RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2640
Mailing Address - Country:US
Mailing Address - Phone:330-264-8640
Mailing Address - Fax:330-264-8396
Practice Address - Street 1:1715 MECHANICSBURG RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2640
Practice Address - Country:US
Practice Address - Phone:330-264-8640
Practice Address - Fax:330-264-8396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0799N310400000X, 313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0025725Medicaid
OH366152Medicare ID - Type Unspecified