Provider Demographics
NPI:1861626079
Name:KEMPER HOUSE STRONGSVILLE
Entity Type:Organization
Organization Name:KEMPER HOUSE STRONGSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-846-1100
Mailing Address - Street 1:10890 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-2256
Mailing Address - Country:US
Mailing Address - Phone:440-846-1100
Mailing Address - Fax:440-846-1113
Practice Address - Street 1:10890 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-2256
Practice Address - Country:US
Practice Address - Phone:440-846-1100
Practice Address - Fax:440-846-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5597311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)