CUYAHOGA COUNTY BD OF MRDD (NPI# 1336353432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336353432 |
| Entity Type | Organization |
| Organization Name | CUYAHOGA COUNTY BD OF MRDD |
| Other Organization Name | MONTICELLO HOUSE |
| Practice Address |
4520 Monticello Blvd Cleveland OH 44143-2840 |
| Mailing Address |
1275 Lakeside Ave E Cleveland OH 44114-1132 |
| Practice Telephone | 2167362625 |
| Practice Fax Number | 2167362702 |
| Mailing Telephone | 2167362625 |
| Mailing Fax Number | 2167362702 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRENCE RYAN (SUPERINTENDENT) |
| Authorized Official Telephone | 2167362625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1813827 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0882871 | 05 |
| Other Name | Type Code |
|---|---|
| Monticello House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081322 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 18005 Howe Rd, Strongsville, OH 44136-7609 | 2007-05-14 |
| 1518172238 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 26365 Tryon Rd, Bedford, OH 44146-5969 | 2007-05-14 |
| 1427263144 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 7211 W 130th St, Parma, OH 44130-7814 | 2007-05-14 |
| 1790990414 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 19853 Grand Blvd, Euclid, OH 44117-2200 | 2007-05-14 |
| 1568676765 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 5041 Lee Rd, Maple Heights, OH 44137-1227 | 2007-05-09 |
| 1407060684 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 1905 Green Rd, Cleveland, OH 44112-1021 | 2007-05-09 |
| 1073727285 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 29400 Cedar Rd, Pepper Pike, OH 44124-4408 | 2007-05-09 |
| 1487868790 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 4248 W 35th St, Cleveland, OH 44109-3108 | 2007-05-09 |
| 1700090925 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 1374 Edendale St, Cleveland Hts, OH 44121-1627 | 2007-05-09 |
| 1497969620 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 23050 Euclid Ave, Euclid, OH 44117-1625 | 2007-05-09 |
| Street Address |
4520 MONTICELLO BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44143-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695568 | Rem Ohio Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4520 Monticello Blvd, Cleveland, OH 44143-2840 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306076 | Sabrina Renee Williams | Technician | 521 Harris Road, Richmond Heights, OH 44143 | 2020-02-04 |
| 1023531860 | Plumtree Inc | Registered Nurse | 4994 Nan Linn Dr, Richmond Heights, OH 44143 | 2017-07-24 |
| 1184154841 | Dionne S Jefferson | Home Health | 8 Washington Square Building 22, 8 Washington Square Building 22, Euclid, OH 44143 | 2017-06-15 |
| 1740736503 | Eleni Kidanu | Podiatrist | 27100, Richmond Heights, OH 44143 | 2016-08-31 |
| 1114307386 | William Naylor | Student in an Organized Health Care Education/Training Program | 21700 Chardon Rd, University Hospitals Rmc, Richmond Heights, OH 44143 | 2015-06-03 |
| 1124408687 | Kamila Phillips | Registered Nurse | 1806 Skyline Dr, Richmond Hts, OH 44143 | 2015-05-31 |
| 1154724300 | Alexander Hynd IIi | Hearing Aid Equipment | 6555 Wilson Mills Road, Mayfield Village, OH 44143 | 2014-10-02 |
| 1760892269 | Olabisi Titilola Odukoya | Student in an Organized Health Care Education/Training Program | 27155 Chardon Rd Ste 201, Cleveland, OH 44143 | 2014-05-06 |
| 1104243187 | Joyce Niba | Licensed Practical Nurse | 440 Richmond Park East C601, Richmond Hts, OH 44143 | 2014-03-27 |
| 1023448495 | Rose Mary Randle | Registered Nurse | 531 Gentry Circle West, Richmond Heights, OH 44143 | 2013-11-20 |
| Find all providers in zip 44143 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700201118 | Tamara M Cowans | Intermediate Care Facility, Mentally Retarded | 9409 Easton Ave, Cleveland, OH 44104-5417 | 2014-02-21 |
| 1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
| 1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
| 1801001524 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 6809 Smith Rd, Cleveland, OH 44130-2681 | 2007-05-14 |
| 1164636007 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 2440 W 14th St, Cleveland, OH 44113-4406 | 2007-05-10 |
| 1427262369 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 2980 Van Aken Blvd, Cleveland, OH 44120-2862 | 2007-05-10 |
| 1407060684 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 1905 Green Rd, Cleveland, OH 44112-1021 | 2007-05-09 |
| 1487868790 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 4248 W 35th St, Cleveland, OH 44109-3108 | 2007-05-09 |
| 1104039924 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Rd, Cleveland, OH 44130-3310 | 2007-05-08 |
| 1912121005 | New Avenues To Independence, Inc. | Intermediate Care Facility, Mentally Retarded | 17608 Euclid Ave, Cleveland, OH 44112-1216 | 2007-04-12 |
| 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.