Aj Suburban Pavilion Opco LLC
NPI 1417451949ActiveOrganization· Skilled Nursing Facility· North Randall, OH
Skilled Nursing Facility in North Randall, Ohio, registered in NPPES in March 2018. The authorized official on file is Hayley B. Williams, Attorney. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1417451949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2018 |
| Last updated in NPPES | Apr 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1373N | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (OH) |
|---|
Other Skilled Nursing Facility providers in North Randall
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