Provider Demographics
NPI:1053387449
Name:WEST SIDE DEUTSCHER FRAUEN VEREIN
Entity type:Organization
Organization Name:WEST SIDE DEUTSCHER FRAUEN VEREIN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PSOTA
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:440-238-3361
Mailing Address - Street 1:18627 SHURMER RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6150
Mailing Address - Country:US
Mailing Address - Phone:440-238-3361
Mailing Address - Fax:440-238-3205
Practice Address - Street 1:18627 SHURMER RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6150
Practice Address - Country:US
Practice Address - Phone:440-238-3361
Practice Address - Fax:440-238-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0423769Medicaid
OH365109Medicare ID - Type UnspecifiedMEDICARE ID NUMBER