Provider Demographics
NPI:1871273490
Name:WESTLAKE OPERATIONS, LLC
Entity type:Organization
Organization Name:WESTLAKE OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-808-0074
Mailing Address - Street 1:27819 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3900
Mailing Address - Country:US
Mailing Address - Phone:440-808-0074
Mailing Address - Fax:
Practice Address - Street 1:27819 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3900
Practice Address - Country:US
Practice Address - Phone:440-808-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility