JUDSON (NPI# 1275533721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275533721 |
| Entity Type | Organization |
| Organization Name | JUDSON |
| Other Organization Name | JUDSON RETIREMENT COMMUNITY |
| Practice Address |
2181 Ambleside Dr Cleveland OH 44106-4645 |
| Practice Telephone | 2167211234 |
| Practice Fax Number | 2167915595 |
| Mailing Telephone | 2167211234 |
| Mailing Fax Number | 2167915595 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CYNTHIA DUNN (PRESIDENT) |
| Authorized Official Telephone | 2167912693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4783 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BLUE CROSS | 000000157017 | 01 |
| OH | 0433883 | 05 | |
| OH | QUALCHOICE | 57821 | 01 |
| Other Name | Type Code |
|---|---|
| JUDSON RETIREMENT COMMUNITY | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | JUDSON B. ST. JOHN CONSULTING, INC. | 118 North Bedford Road, Suite 300, Mount Kisco, New York 10549 |
| Colorado Business Entities | Judson Charles, Inc. | 22195 El Paseo, Suite 250, Rancho Santa Margarita, CA 92688 |
| Washington State Corporations | JUDSON CONDO, LLC | 1050 Larrabee Ave Ste 104, Bellingham, WA 98225-7367 |
| Washington State Corporations | JUDSON CONSTRUCTION INC. | 21920 155th Ave Se, Monroe, WA 98272 |
| Colorado Business Entities | Judson Coward | 5605 Gardendale, Houston, TX 77092 |
| New York State Corporations | JUDSON CREEK ASSOCIATES, INC. | 59 Ridgeway Drive, Irvington, New York 10533 |
| Colorado Business Entities | Judson Custom Construction, Inc. | 821 Pitkin Street, Frisco, CO 80443 |
| System for Award Management (SAM) Entities | JUDSON DIALYSIS | 15619 Nacogdoches Rd, San Antonio, TX 78247-1159 |
| Colorado Business Entities | Judson E Cass CFP LLC | 9605 Kingston Ct, Suite 190, Lone Tree, CO 80112 |
| Washington State Corporations | JUDSON E. THRELKELD, MD, P.C. | 19503 Ne 6th St, Camas, WA 98607 |
| Street Address |
2181 AMBLESIDE DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661448 | Kelly A Romano | Speech-Language Pathologist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-08-30 |
| 1154826378 | Fpb Clinical Practice LLC | Clinic/Center | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-03-28 |
| 1942712955 | Samantha Josette Farrar | Physical Medicine & Rehabilitation | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2017-10-31 |
| 1134640725 | Stacy Allyn Brubaker | Nurse Practitioner | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2017-07-04 |
| 1730631540 | Matthew Delewski | Occupational Therapist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2016-10-27 |
| 1710332176 | Cassandra Dykin | Specialist/Technologist, Other | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2016-05-04 |
| 1144629775 | Gretchen Slater | Physical Therapy Assistant | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-20 |
| 1326447350 | Patricia A. White | Occupational Therapy Assistant | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-14 |
| 1598173668 | Alexandria Notaro | Occupational Therapist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-01 |
| 1487084505 | Genesis Rehab | Nursing Care | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239894 | Tyler Joseph Gajdos | Skilled Nursing Facility | 4398 W 19th St, Cleveland, OH 44109-3638 | 2016-07-13 |
| 1720494495 | Tayler Cade | Skilled Nursing Facility | 1435 Clermont Rd, Cleveland, OH 44110-2806 | 2014-07-02 |
| 1619315884 | Genesis Rehab | Skilled Nursing Facility | 520 E 103rd St, Cleveland, OH 44108-1330 | 2013-06-11 |
| 1134306012 | Tri-med Pharmacy Services, LLC #3 | Skilled Nursing Facility | 2195 Varnell Rd Sw, Cleveland, TN 37311-7347 | 2008-01-23 |
| 1508057456 | Lp Cleveland LLC | Skilled Nursing Facility | 2750 Executive Park Nw, Cleveland, TN 37312-2722 | 2007-08-06 |
| 1770602435 | Dynamic Cleveland Operating Company LLC | Skilled Nursing Facility | 200 N Martin Luther King Dr, Cleveland, MS 38732-2821 | 2007-03-27 |
| 1396883591 | St Augustine Manor | Skilled Nursing Facility | 7801 Detroit Avenue, Cleveland, OH 44102 | 2007-02-01 |
| 1902958267 | Fairview Village Retirement Community, Ltd | Skilled Nursing Facility | 4110 Rocky River Dr, Cleveland, OH 44135-1175 | 2007-01-17 |
| 1376600098 | Hilo Medical Investors Ltd. | Skilled Nursing Facility | 3001 Keith St Nw, Cleveland, TN 37312-3713 | 2007-01-02 |
| 1891860656 | Cleveland Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 4036 Highway 8 East, Cleveland, MS 38732 | 2006-11-21 |
| Find all providers in CLEVELAND | ||||
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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.