PARK HAVEN HOME
NPI 1114974243
Nursing Facility/Intermediate Care Facility in Ashtabula, OH

Q: What is Park Haven Inc's NPI number?

The NPI number for Park Haven Inc is 1114974243. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Park Haven Home.

Q: What is Park Haven Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Park Haven Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2006

4533 PARK AVE, ASHTABULA, OH 44004(440) 992-9441(440) 992-7592 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Park Haven Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK HAVEN HOME (NPI 1114974243) is a healthcare organization registered as a nursing facility/intermediate care facility in Ashtabula, Ohio and active in the NPI registry since May 2006. The organization lists Beatrice A Knowlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114974243

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NamePARK HAVEN INC

Location Address4533 PARK AVEAshtabula, OH 44004-6930

Mailing Address2125 W Prospect RdAshtabula, OH 44004-6439 · (440) 992-8387 · Fax (440) 992-7650

Phone(440) 992-9441

Fax(440) 992-7592

Organization SubpartNo

Authorized OfficialBeatrice A KnowlsonOwner · (440) 992-8387

Enumeration DateMay 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114974243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OH · 6091

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

4533 PARK AVE, Ashtabula, OH 44004

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Other Names 1

Doing Business AsPark Haven Home

Other Identifiers 1

Medicaid0242553OH

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LILLIAN MARIE MCNULTYL OTR/L

Occupational Therapist (Neurorehabilitation)

4533 PARK AVE, PARKHAVEN HOME
ASHTABULA, OH 44004

Ashtabula County (888) 796-3789

JENNIFER VERA KORTH M.A.,CCC-SLP

Speech-Language Pathologist