OLD SCHOOL LLC (NPI# 1215329909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329909 |
| Entity Type | Organization |
| Organization Name | OLD SCHOOL LLC |
| Practice Address |
17400 Northwood Ave Lakewood OH 44107-2210 |
| Mailing Address |
2109 Wooster Rd Rocky River OH 44116-2674 |
| Practice Telephone | 2164038640 |
| Practice Fax Number | 2168625143 |
| Mailing Telephone | 2164070437 |
| Mailing Fax Number | 2168625143 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | MR. JOHN J. SMITH (DIRECTOR/OWNER) |
| Authorized Official Telephone | 2164070437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
101YA0400X | OH | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OLD SCHOOL LLC | 724 S 3rd St Ste E, Renton, WA 98057-2542 |
| Colorado Business Entities | OLD SCHOOL LLC | 7991 W 28th St, Greeley, CO 80634-9647 |
| Street Address |
17400 NORTHWOOD AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1326669888 | Shannon Devaughn Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972983252 | Center for Stroke & Hand Recovery Inc. | Clinic/Center | 36650 Bainbridge Rd, Solon, OH 44139-3131 | 2015-06-02 |
| 1306025572 | A S Rehab, Inc | Clinic/Center | 8630 Washington Church Rd, Miamisburg, OH 45342-3795 | 2007-10-24 |
| 1184682973 | Eagle Eye Family Development Center | Clinic/Center | 4515 N Ridge Rd E, Ashtabula, OH 44004-4364 | 2006-05-02 |
| 1881687085 | Travco Rehabilitation Center, Inc. | Clinic/Center | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2005-08-24 |
| 1184253148 | Youngstown Physical Rehabilitation | Clinic/Center | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2020-04-02 |
| 1114475258 | Jane Bragg-barnes | Clinic/Center | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2016-09-19 |
| 1316307499 | Highland District Hospital | Clinic/Center | 1108 Northview Dr, Hillsboro, OH 45133-1184 | 2016-03-02 |
| 1356675003 | Lake Hospital System, Inc | Clinic/Center | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2009-09-29 |
| 1295938272 | Menorah Park Center for Senior Living | Clinic/Center | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-06-07 |
| 1134330194 | Midwest Rehab Inc | Clinic/Center | 1200 S Main St, Ada, OH 45810-2616 | 2007-05-24 |
| 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.