Provider Demographics
NPI:1851467708
Name:ROCKYNOL RETIREMENT COMMUNITY
Entity Type:Organization
Organization Name:ROCKYNOL RETIREMENT COMMUNITY
Other - Org Name:OHIO PRESBYTERIAN RETIREMENT SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELFANCE
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:330-867-2150
Mailing Address - Street 1:1150 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7129
Mailing Address - Country:US
Mailing Address - Phone:330-867-2150
Mailing Address - Fax:330-867-1642
Practice Address - Street 1:1150 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7129
Practice Address - Country:US
Practice Address - Phone:330-867-2150
Practice Address - Fax:330-867-1642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1280R310400000X
OH1280N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility