MENORAH PARK CENTER FOR SENIOR LIVING (NPI# 1104032705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104032705 |
| Entity Type | Organization |
| Organization Name | MENORAH PARK CENTER FOR SENIOR LIVING |
| Other Organization Name | MENORAH PARK HOME HEALTH |
| Practice Address |
27100 Cedar Rd Beachwood OH 44122-1109 |
| Practice Telephone | 2168316500 |
| Practice Fax Number | 2168315492 |
| Mailing Telephone | 2168316500 |
| Mailing Fax Number | 2168315492 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | JULIANN MINNIE (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 2168316500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251E00000X | Home Health | 5870 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2023303 | 05 |
| Other Name | Type Code |
|---|---|
| Menorah Park Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609831429 | Menorah Park Center for Senior Living | Skilled Nursing Facility | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2006-04-18 |
| 1891080875 | Menorah Park Center for Senior Living | Pharmacy | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2011-06-17 |
| 1639314313 | Menorah Park Center for Senior Living | Dentist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2008-12-09 |
| 1740445873 | Menorah Park Center for Senior Living | Day Training, Developmentally Disabled Services | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2008-07-29 |
| 1528248820 | Menorah Park Center for Senior Living | Hospice Care, Community Based | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-11-05 |
| 1295938272 | Menorah Park Center for Senior Living | Clinic/Center | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENORAH PARK CENTER FOR SENIOR LIVING | 27100 Cedar Rd, Cleveland, OH 44122-1156 |
| Street Address |
27100 CEDAR RD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609831429 | Menorah Park Center for Senior Living | Skilled Nursing Facility | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2006-04-18 |
| 1437784154 | Kelly Runkel | Physical Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2020-03-04 |
| 1952965386 | Sierra Capriece Gausha | Registered Nurse | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2019-05-01 |
| 1114401148 | Kayla Elizabeth Aiosa | Nurse Practitioner | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-09-14 |
| 1134600950 | Kathleen Ondak | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-29 |
| 1689155178 | Angela Marie Holpuch | Physical Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-23 |
| 1275014946 | Julianna Leigh Scott | Speech-Language Pathologist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-22 |
| 1861972648 | Courtney Stanley | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-21 |
| 1285114421 | Marla Pease | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-17 |
| 1952881344 | Danielle Dimitris Lewis | Physical Therapy Assistant | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737002 | Allied Healthcare Systems LLC | Home Health | 24800 Chagrin Blvd Ste 105, Beachwood, OH 44122-5631 | 2020-07-07 |
| 1881119972 | Kairos Philos Home Care | Home Health | 21515 Chagrin Blvd Ste 205, Beachwood, OH 44122-5339 | 2017-08-09 |
| 1932659430 | Health Care Bridge, LLC | Home Health | 3733 Park East Dr Ste 250, Beachwood, OH 44122 | 2016-10-07 |
| 1932562394 | Caremaxx Home Health Agency LLC | Home Health | 26600 George Zeiger Dr Apt 511, Beachwood, OH 44122-7542 | 2016-04-03 |
| 1205239613 | Home Care Staffing, LLC | Home Health | 3720 Northfield Rd, Ste., 115, Beachwood, OH 44122-5250 | 2014-09-29 |
| 1952653842 | Touched By An Angel LLC | Home Health | 24706 Hawthorne Dr, Beachwood, OH 44122-2318 | 2012-10-03 |
| 1396062568 | Tri-county Home Health, Inc. | Home Health | 3628 Walnut Hills Ave Ste 105, Beachwood, OH 44122-4484 | 2010-04-28 |
| 1124156849 | Carrie L. Marion | Home Health | 23945 Mercantile Rd Ste H, Beachwood, OH 44122-5924 | 2007-03-02 |
| 1619088705 | Caretenders of Cleveland, Inc | Home Health | 23611 Chagrin Blvd Ste 130, Beachwood, OH 44122-5540 | 2006-08-31 |
| 1902866908 | Jewish Family Service Association | Home Health | 3659 Green Road, Pdc Building Suite 316, Beachwood, OH 44122-5727 | 2006-03-24 |
| Find all providers in BEACHWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.