CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION


Address: 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815
Phone: 2167211494

CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION (NPI# 1538106794) 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) 1538106794
Entity Type Organization
Organization Name CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Other Organization Name CHILDREN'S HOSPITAL NEPHROLOGY & DIALYSIS CENTER
Practice Address 2801 Martin Luther King Jr Dr
Cleveland
OH 44104-3815
Mailing Address 6801 Brecksville Rd
Independence
OH 44131-5032
Practice Telephone 2167211494
Practice Fax Number 2167217144
Mailing Telephone 2166368364
Mailing Fax Number 2166368445
Enumeration Date 2006-05-31
Last Update Date 2016-03-28
Authorized Official Name MS. DEBRA NYIKES (FINANCE MANAGER)
Authorized Official Telephone 2164452176
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 3779620 05

Other Provider/Organization Names

Other Name Type Code
Children's Hospital Nephrology & Dialysis Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033161948 Cleveland Clinic Children's Hospital for Rehabilitation Rehabilitation Hospital 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2006-05-17

Office Location

Street Address 2801 MARTIN LUTHER KING JR DR
City CLEVELAND
State OH
Zip Code 44104-3815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033161948 Cleveland Clinic Children's Hospital for Rehabilitation Rehabilitation Hospital 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2006-05-17
1992316400 Emilee Carmen Valler Gorfien Psychologist 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2020-08-10
1609416874 Elizabeth Schilling Behavioral Analyst 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2020-01-15
1578070462 Holly Ann Hennessey Behavioral Analyst 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2018-01-02
1265948970 Chiara Marie Graver Behavioral Analyst 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2017-12-18
1346754124 Jeffrey Jack Counselor 2801 Martin Luther King Jr Dr, Cleveland, OH 44104 2017-12-01
1992218192 Kristen Ginty Behavioral Analyst 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2017-11-09
1942727219 Hilary Joy Parsons Alexander Counselor 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2017-08-27
1801313218 Melissa Andrea Tomei Nurse Practitioner 2801 Martin Luther King Jr Dr, Cleveland, OH 44104 2017-08-25
1720470909 Tatyana Maricic Registered Nurse 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2015-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619510419 Gwen Burtin Technician 9908 Kennedy Ave, Cleveland, OH 44104 2019-10-24
1215422001 Julia Shneyderman Dentist 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 2018-06-25
1477058527 Kwananda A Plato Technician 9717 Elwell Ave., Cleveland, OH 44104 2018-03-29
1073035887 Tia Marie Heard Home Health 4591 Quincy Avenue Building Q, Cleveland, OH 44104 2017-07-13
1407306608 Shelby Mcquiller Social Worker 2632 E 115th St, Cleveland, OH 44104 2016-10-11
1568852390 Cleveland Arts & Social Sciences Academy Psychologist 10701 Shaker Blvd, Cleveland, OH 44104 2015-02-02
1164827705 Eboni Danyale Jordan Licensed Practical Nurse 3143 East 99th, Cleveland, OH 44104 2014-10-24
1902224157 Woodland Academy, Inc. Local Education Agency (LEA) 10615 Lamontier Blvd., Cleveland, OH 44104 2014-04-04
1467793778 Teresa M Evans-guyton Nurse Practitioner 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 2013-03-12
1023387057 Roslyn Jeanette Carter Home Health Aide 9423 Ramona Blvd, Cleveland, OH 44104 2011-12-20
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902461213 Kollobe Dialysis LLC Clinic/Center 4670 Richmond Rd Ste 250, Cleveland, OH 44128-6411 2019-05-02
1477951648 Community Dialysis Center Clinic/Center 1370 Addison Road, Cleveland, OH 44103 2014-12-19
1407256092 Garrett Dialysis LLC Clinic/Center 4805 Pearl Rd, Cleveland, OH 44109-5145 2014-09-02
1760704100 Ez Dialysis, LLC Clinic/Center 22 Alpha Park, Cleveland, OH 44143-2208 2010-02-26
1407186018 Total Renal Care Inc Clinic/Center 2302 Community College Ave, Cleveland, OH 44115-3117 2010-01-04
1306098082 Kidney Center of Cleveland, LLC Clinic/Center 2253 Chambliss Avenue, Cleveland, TN 37311 2008-10-14
1568559128 Community Dialysis Center Clinic/Center 3330 W 25th St, Cleveland, OH 44109-1614 2006-10-06
1215024849 Community Dialysis Center Clinic/Center 11717 Euclid Ave, Cleveland, OH 44106-4350 2006-10-06
1669584413 Rcg Mississippi, Inc. Clinic/Center 222 N Pearman Ave, Cleveland, MS 38732-2634 2006-08-31
1386759132 Ohio Renal Care Group, LLC Clinic/Center 3280 W 25th St, Cleveland, OH 44109-1670 2006-08-20
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Competitor

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City CLEVELAND
Zip Code 44104

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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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