# BCC MEDINA OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elmcroft of Medina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730493727
- **Authorized official:** MS. ROBIN L. BARBER ESQ. (VICE PRESIDENT AND SECRETARY)
- **Authorized official phone:** (502) 753-6004

## Contact information

- **Practice address:** 1046 N JEFFERSON ST, MEDINA, OH 44256-1102
- **Practice address phone:** (330) 721-2000
- **Practice address fax:** (330) 723-0742
- **Mailing address:** 9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
- **Mailing address phone:** (502) 753-6004
- **Mailing address fax:** (502) 753-6104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 2227R | OH | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 08/02/2010