VAN GORDER MANOR
NPI 1598923575
Assisted Living Facility in Willoughby, OH

Q: What is Van Gorder Manor's NPI number?

The NPI number for Van Gorder Manor is 1598923575. It was assigned to this organization in the NPPES registry on May 27, 2008.

Q: What is Van Gorder Manor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Van Gorder Manor was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 27, 2008

37819 EUCLID AVE, WILLOUGHBY, OH 44094(440) 946-5213(440) 942-0244 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Van Gorder Manor NPPES

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

VAN GORDER MANOR (NPI 1598923575) is a healthcare organization registered as an assisted living facility in Willoughby, Ohio and active in the NPI registry since May 2008. The organization lists Michelle Lee Wagner, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1598923575

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameVAN GORDER MANOR

Location Address37819 EUCLID AVEWilloughby, OH 44094-5900

Mailing Address37819 Euclid AveWilloughby, OH 44094-5900 · (440) 946-5213 · Fax (440) 942-0244

Phone(440) 946-5213

Fax(440) 942-0244

Organization SubpartNo

Authorized OfficialMichelle Lee WagnerOwner/operator · (440) 946-5213

Enumeration DateMay 27, 2008

✔ NPI 1598923575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in OH · 1954

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.

37819 EUCLID AVE, Willoughby, OH 44094

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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 Van Gorder Manor's NPI number?

The NPI number for Van Gorder Manor is 1598923575. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Van Gorder Manor located?

Van Gorder Manor is located at 37819 Euclid Ave, Willoughby, OH 44094. The listed phone number is (440) 946-5213.

What is Van Gorder Manor's specialty?

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

When was this NPI record last updated?

The NPPES record for Van Gorder Manor was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.