East Park Care Center Skilled Nursing & Rehabilitation – Skilled Nursing Facility, NPI 1467116210

East Park Care Center Skilled Nursing & Rehabilitation is a healthcare provider. based in Brookpark, Ohio. specializing in Skilled Nursing Facility. The NPI Number for East Park Care Center Skilled Nursing & Rehabilitation is 1467116210

Main info

Organization
Name
East Park Care Center Skilled Nursing & Rehabilitation
NPI
1467116210
Phone
(216) 267-7067
Address
6360 ELMDALE RD
Authorized Official
MR. JEFFREY DEGYANSKY VICE PRESIDENT OF OPERATIONS
Enumeration Date
27 October 2021
Last Update Date
4 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness90
Years active:4State licenses:0Digital endpoints

Provider Addresses for East Park Care Center Skilled Nursing & Rehabilitation

  • 6360 ELMDALE RD

    BROOKPARK, OH 441424075

    Phone: (216) 267-7067

    Type: Location

  • 5910 LANDERBROOK DR STE 150

    MAYFIELD HEIGHTS, OH 441246506

    Phone: (216) 267-7067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220103000473OSkilled Nursing FacilityOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44142)

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Reviews

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Frequently asked questions

Is East Park Care Center Skilled Nursing & Rehabilitation listed with a National Provider Identifier?
Yes — East Park Care Center Skilled Nursing & Rehabilitation has NPI 1467116210 on file in the registry.
Is East Park Care Center Skilled Nursing & Rehabilitation shown as active in public data?
Registry records indicate East Park Care Center Skilled Nursing & Rehabilitation maintains an active NPI.
What kind of doctor is East Park Care Center Skilled Nursing & Rehabilitation?
East Park Care Center Skilled Nursing & Rehabilitation is associated with Skilled Nursing Facility in the directory — Clinical services aligned with this taxonomy classification.
Is East Park Care Center Skilled Nursing & Rehabilitation located near Brookpark?
East Park Care Center Skilled Nursing & Rehabilitation currently maps to Brookpark, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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