BIRCHCREST HOLDINGS, LLC


Address: 19250 Bagley Rd Ste 202, Cleveland, OH 44130
Phone: 4402609970

BIRCHCREST HOLDINGS, LLC (NPI# 1487991360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487991360
Entity Type Organization
Organization Name BIRCHCREST HOLDINGS, LLC
Practice Address 19250 Bagley Rd Ste 202
Cleveland
OH 44130
Mailing Address 4760 Richmond Rd Ste 300
Cleveland
OH 44128-5979
Practice Telephone 4402609970
Practice Fax Number 4402609980
Mailing Telephone 2167658390
Mailing Fax Number 2167658392
Enumeration Date 2013-01-11
Last Update Date 2018-08-17
Authorized Official Name JACK CORNELL (PRESIDENT)
Authorized Official Telephone 2167658390
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164726360 Birchcrest Holdings, LLC Clinic/Center 4760 Richmond Rd Ste 300, Cleveland, OH 44128 2011-01-03
1457712598 Birchcrest Holdings, LLC Clinic/Center 6800 Ridge Rd, Parma, OH 44129-5627 2016-03-17
1629439765 Birchcrest Holdings, LLC Clinic/Center 30400 Detroit Rd, #30 - Lower Level, Westlake, OH 44145-1872 2016-03-17
1437541224 Birchcrest Holdings, LLC Clinic/Center 3443 Medina Rd, Suite 103, Medina, OH 44256-5360 2015-03-03

Office Location

Street Address 19250 BAGLEY RD STE 202
City CLEVELAND
State OH
Zip Code 44130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912545427 Northeast Care Center, Inc. Intermediate Care Facility, Mentally Retarded 19080 Bagley Road, Middleburg Hts., OH 44130 2019-12-16
1982189148 Carl Steinhoff Registered Nurse 13766 Cherokee Trail, Middleburg Heights, OH 44130 2018-10-03
1649756321 Beatrice Shepherd Counselor 5253 Hauserman Rd Apt 212, Parma, OH 44130 2018-07-16
1841705068 New Heights Aba, LLC Behavioral Analyst 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 2017-12-11
1275059842 Tynisha Nicole Nation Registered Nurse 6431 Olde York, Parma Hts, OH 44130 2017-08-16
1609328558 Lisa Wolanin Physical Therapist 186970bagley Road, Middleburg Hts, OH 44130 2016-10-26
1184074205 Tanya Makowski Nurse Practitioner 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 2016-06-20
1093165706 Dana Hyde Dentist 7528 Pearl Rd, Middleburg Heights, OH 44130 2016-06-14
1689046625 Kimberly Ann Piro Nurse Practitioner 12240 Zona Ln, Parma, OH 44130 2015-10-29
1225400088 Larrise Williford Registered Nurse 11491 Sharon Dr Apt C705, Parma, OH 44130 2015-10-20
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1982107975 Van Wert Medical Services, Ltd. Clinic/Center 214 Towne Center Blvd, Van Wert, OH 45891 2018-03-15
1770099798 Mri Solutions Clinic/Center 4424 Aicholtz Rd Ste D, Cincinnati, OH 45245-1530 2017-12-28
1144466293 Jcc, LLC Clinic/Center 2591 Miamisburg Centerville Rd Ste 102, Centerville, OH 45459-3706 2008-12-19
1578697181 Med Tel International Corporation Clinic/Center 250 Executive Dr, #c, Marion, OH 43302-6284 2007-03-15
1548352818 Radiology Specialists Ltd. LLC Clinic/Center 4161 Bridgewater Parkway, Stow, OH 44224 2006-09-28
1194733246 Woodland Diagnostic Imaging LLC Clinic/Center 5005 Whipple Ave Nw, Canton, OH 44718 2006-08-04
1922022698 Open Access Mri, LLC Clinic/Center 109 S Fayette St, Fayette, OH 43521-9411 2006-07-27
1225061526 Vanguard Imaging Partners, LLC Clinic/Center 2619 Commons Blvd, Beavercreek, OH 45431-3817 2006-07-09
1194753640 World Class Medical Imaging Clinic/Center 1735 West Main Street, Troy, OH 45373-2301 2006-06-30
1063468460 North Coast Imaging, LLC Clinic/Center 1303 W State St, Fremont, OH 43420-2016 2006-05-26
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Competitor

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City CLEVELAND
Zip Code 44130

Improve Information

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Dataset Information

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.

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