CCN: 365581 NPI: 1801882808 Organization

OHIO LIVING BRECKENRIDGE VILLAGE

36855 RIDGE RD
WILLOUGHBY, OH 440944128

Contact Information

Phone 4409424342
Fax 4409424150
Enumeration Date 2005-09-25
Last Updated 2024-04-15

Taxonomies

Code: 314000000X (Primary) License State: OH License: 4807

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 17410

providerType 38

vbpAdjustment 0.9831232252

censusDivision 4

cbsaActualGeographicLocation 17410

providerType 38

vbpAdjustment 0.9805781555

censusDivision 4

cbsaActualGeographicLocation 17460

providerType 38

vbpAdjustment 0.9802538758

censusDivision 4

cbsaActualGeographicLocation 17460

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 17460

providerType 38

vbpAdjustment 0.992

censusDivision 4

cbsaActualGeographicLocation 17460

providerType 38

vbpAdjustment 0.980278308

censusDivision 4

cbsaActualGeographicLocation 17460

providerType 38

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 17460

providerType 38

vbpAdjustment 0.9809223192

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.