Provider Demographics
NPI:1730876723
Name:TOLEDO 5020 OPCO, LLC
Entity type:Organization
Organization Name:TOLEDO 5020 OPCO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-534-9077
Mailing Address - Street 1:5020 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2065
Mailing Address - Country:US
Mailing Address - Phone:419-389-0800
Mailing Address - Fax:419-389-0819
Practice Address - Street 1:5020 RYAN RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2065
Practice Address - Country:US
Practice Address - Phone:419-389-0800
Practice Address - Fax:419-389-0819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LLOYD JONES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-19
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility