ST AUGUSTINE MANOR (NPI# 1396883591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396883591 |
| Entity Type | Organization |
| Organization Name | ST AUGUSTINE MANOR |
| Other Organization Name | ST AUGUSTINE MANOR DBA HOLY FAMILY HOME |
| Practice Address |
7801 Detroit Avenue Cleveland OH 44102 |
| Practice Telephone | 2166347400 |
| Practice Fax Number | 2166347483 |
| Mailing Telephone | 2166347400 |
| Mailing Fax Number | 2166347483 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK GAREAU (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2166347403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1971 | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| St Augustine Manor dba Holy Family Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376667014 | St Augustine Manor | Hospice Care, Community Based | 6707 State Rd, Parma, OH 44134-4517 | 2007-03-19 |
| 1578644316 | St Augustine Manor | Home Health | 6707 State Road, Parma, OH 44134 | 2006-10-18 |
| 1033599105 | St Augustine Manor | Nurse Practitioner | 7801 Detroit Ave, Cleveland, OH 44102-2813 | 2015-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST AUGUSTINE MANOR, INC. | 800 Bayard St, New Iberia, LA 70560-5761 |
| Street Address |
7801 DETROIT AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138259 | Christian Bracero | Home Health Aide | 1285 W 91 St Upstairs, Cleveland, OH 44102 | 2020-09-15 |
| 1639702855 | Ohio Wellness Transit | Non-emergency Medical Transport (VAN) | 3295 W. 97th St, Cleveland, OH 44102 | 2020-02-17 |
| 1538655642 | Alayah Wypasek | Case Manager/Care Coordinator | 3201 West 73rd, Cleveland, OH 44102 | 2018-07-02 |
| 1811489826 | Kimberly Ann Leftridge | Home Health Aide | 2088 W. 95th, Down, Cleveland, OH 44102 | 2018-06-05 |
| 1407352800 | Peace By Piece Cleveland | Community/Behavioral Health | 10237 Berea Rd, Cleveland, OH 44102 | 2018-04-04 |
| 1285130922 | Ruthanne Gurcze | Counselor | 3201 W 73rd Street, Cleveland, OH 44102 | 2018-04-02 |
| 1619486297 | Kimberly Billue | Home Health Aide | 2205 W 106th Street, Lower, Cleveland, OH 44102 | 2017-09-26 |
| 1114446473 | Kalia Marie Woods | Student in an Organized Health Care Education/Training Program | 2045 W 95th St, Cleveland, OH 44102 | 2017-09-18 |
| 1255858437 | Michelle Leann Genet | Counselor | 10427 Detroit Avenue, Cleveland, OH 44102 | 2017-08-28 |
| 1770033136 | Village Preparatory School IIi | Psychologist | 2220 W. 93rd St., Cleveland, OH 44102 | 2016-10-10 |
| Find all providers in zip 44102 | ||||
| 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 |
| 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 |
| 1528169836 | Euclid Hill Health Investors, Inc. | Skilled Nursing Facility | 18220 Euclid Ave, Cleveland, OH 44112-1013 | 2006-09-26 |
| 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.