PARK VILLAGE AL NP LLC
NPI 1366170854
Assisted Living Facility in New Philadelphia, OH

Q: What is Park Village Al Np LLC's NPI number?

The NPI number for Park Village Al Np LLC is 1366170854. It was assigned to this organization in the NPPES registry on August 11, 2022.

Q: What is Park Village Al Np LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 11, 2022CLIA 36D2122509 · Waiver

1019 OLDTOWN VALLEY RD SE, NEW PHILADELPHIA, OH 44663(330) 447-3490(330) 440-6000 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Park Village Al Np Llc NPPES

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

PARK VILLAGE AL NP LLC (NPI 1366170854) is a healthcare organization registered as an assisted living facility in New Philadelphia, Ohio and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Jeffrey H Tucker, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1366170854

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePARK VILLAGE AL NP LLC

Location Address1019 OLDTOWN VALLEY RD SENew Philadelphia, OH 44663-8125

Mailing Address1019 Oldtown Valley Rd SeNew Philadelphia, OH 44663-8125 · (330) 447-3490 · Fax (330) 440-6000

Phone(330) 447-3490

Fax(330) 440-6000

Organization SubpartYesParent: Park Village Development Llc

Authorized OfficialJeffrey H TuckerChief Financial Officer · (330) 447-3490

Enumeration DateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1366170854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1019 OLDTOWN VALLEY RD SE, New Philadelphia, OH 44663

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2122509

Park Village Hc, Np, LLC · New Philadelphia, OH

Active · expires Nov 29, 2026

CLIA Number36D2122509

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateNovember 30, 2024

Certificate Expiration DateNovember 29, 2026

Laboratory DirectorMichelle Dryden

Laboratory Phone(330) 364-4437

Laboratory LocationPark Village Hc, Np, LLC1019 Oldtown Valley Road SE, New Philadelphia, OH 44663

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PARK VILLAGE HC NP LLC

Skilled Nursing Facility

1019 OLDTOWN VALLEY RD SE
NEW PHILADELPHIA, OH 44663

Tuscarawas County (330) 364-4436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Village Al Np LLC's NPI number?

The NPI number for Park Village Al Np LLC is 1366170854. It was assigned to this organization in the NPPES registry on August 11, 2022.

Where is Park Village Al Np LLC located?

Park Village Al Np LLC is located at 1019 Oldtown Valley Rd SE, New Philadelphia, OH 44663. The listed phone number is (330) 447-3490.

What is Park Village Al Np LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Park Village Al Np LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2122509) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Village Al Np LLC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.