Organization Name: | DEIRDRE'S VINTAGE HOUSE LLC |
NPI Number: | 1386974582 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEIRDRE FAITH NEWMAN (OWNER/MANAGER) |
Mailing Address: | 27277 Bagley Rd Olmsted Falls |
State: | OH US |
Postal Code: | 441381001 |
Phone Number: | 4404768905 |
Fax Number: | 4407936359 |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 01/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 3270AGH |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |