GRACE HOSPITAL (NPI# 1124117205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124117205 |
| Entity Type | Organization |
| Organization Name | GRACE HOSPITAL |
| Practice Address |
2307 W 14th St Cleveland OH 44113-3612 |
| Practice Telephone | 2166874014 |
| Practice Fax Number | 2166874027 |
| Mailing Telephone | 2166874014 |
| Mailing Fax Number | 2166874027 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | MRS. MARY K. CHENTNIK (VICE PRESIDENT, QUALITY MANAGEMENT) |
| Authorized Official Telephone | 2166874014 |
| Authorized Official Credential | J.D., RHIT, CPHQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3337400 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | GRACE HOSPITAL PHARMACY | 10960 Wilshire Blvd, Los Angeles, CA 90024 |
| New York State Corporations | GRACE HOSPITALITY GROUP LLC | 281 County Road, 39a, Southampton, New York 11968 |
| Vermont Business Registrations | GRACE HOSPITALITY LLC | 1838 Route 7a, Po Box 195, Shaftsbury, VT 05262 |
| New York State Corporations | GRACE HOSPITALITY LLC | 757 Third Avenue, New York, Ny 10017 |
| Street Address |
2307 W 14TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548281413 | Deepak Raheja | Psychiatry & Neurology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-07-23 |
| 1063869303 | Jane A Bondi | Physician Assistant | 2307 W 14th St, Cleveland, OH 44113-3612 | 2016-05-17 |
| 1245438308 | D Raheja Md Inc | Psychiatry & Neurology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2007-07-10 |
| 1669585428 | Cleveland Back & Pain Management Center Inc. | Anesthesiology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-08-16 |
| 1629181490 | John Harvey Nickels | Anesthesiology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-08-16 |
| 1225141096 | Linda L. Alberino | Multi-Specialty | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043405632 | Mohamed Ali Bedaiwy | Special Hospital | 11100 Euclid Ave # Mac5034, Cleveland, OH 44106-1716 | 2007-09-07 |
| 1730637232 | Nisit Poolthananant | Special Hospital | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-09-14 |
| 1720379092 | Cleveland Clinic | Special Hospital | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2011-04-21 |
| 1891097366 | Cleveland Clinic Foundation | Special Hospital | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2010-12-03 |
| 1962651224 | Louis Stokes Va Medical Center | Special Hospital | 10701 East Blvd, Cleveland, OH 44106-1702 | 2008-09-11 |
| 1598914855 | Louis Stokes Department of Veterans Affairs | Special Hospital | 10701 East Blvd, Cleveland, OH 44106-1702 | 2008-09-11 |
| 1427258961 | Case Western University | Special Hospital | 11000 Euclid Ave, Lsk Bldg 7901, Cleveland, OH 44106-1714 | 2007-07-23 |
| 1326199902 | Cleveland Clinic | Special Hospital | 9500 Euclid Ave # Ne50, Cleveland, OH 44195-0001 | 2007-01-12 |
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|---|---|---|---|---|
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| 1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
| 1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
| 1225528938 | Wellcare Health System, LLC | Special Hospital | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
| 1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
| 1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
| 1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
| 1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
| 1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
| 1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
| Find all providers with the same taxonomy | ||||
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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.