PARK VISTA IL OPS LLC
NPI 1235739459
Custodial Care Facility - Adult Care Home in Youngstown, OH
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 36D2007419
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 05-16-2026
About PARK VISTA IL OPS LLC
This page provides the complete NPI Profile along with additional information for Park Vista Il Ops Llc, a provider established in Youngstown, Ohio operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1235739459 assigned on October 2020. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Shlomo Mushell (Manager)
- NPI
- 1235739459 Verify this NPI
- Provider Name
- PARK VISTA IL OPS LLC
- Entity Type
- Organization
- Location Address
- 1216 5TH AVE YOUNGSTOWN, OH 44504
- Location Phone
- (330) 746-2944
- Mailing Address
- 1216 5TH AVE YOUNGSTOWN, OH 44504
- Mailing Phone
- (330) 746-2944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2020
- Last Update Date
- 10-27-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2007419
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- May 17, 2024
- Certificate Expiration Date
- May 16, 2026
- Laboratory Director
- SAMEH YOUSSEF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Vista Il Ops Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
YOUNGSTOWN, OH 44504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235739459, enumerated as an "organization" on October 27, 2020.
The provider is located at 1216 5TH AVE YOUNGSTOWN, OH 44504 and the phone number is (330) 746-2944.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
