MENORAH PARK CENTER FOR SENIOR LIVING (NPI# 1609831429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609831429 |
Entity Type | Organization |
Organization Name | MENORAH PARK CENTER FOR SENIOR LIVING |
Practice Address |
27100 Cedar Rd Beachwood OH 44122-1109 |
Practice Telephone | 2168316500 |
Practice Fax Number | 2168315492 |
Mailing Telephone | 2168316500 |
Mailing Fax Number | 2168315492 |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-07-09 |
Authorized Official Name | JULIANN MINNIE (DIRECTOR REVENUE CYCLE) |
Authorized Official Telephone | 2168316500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | 5870 | OH | Nursing & Custodial Care Facilities |
N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 5870 | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 4366958 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891080875 | Menorah Park Center for Senior Living | Pharmacy | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2011-06-17 |
1639314313 | Menorah Park Center for Senior Living | Dentist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2008-12-09 |
1740445873 | Menorah Park Center for Senior Living | Day Training, Developmentally Disabled Services | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2008-07-29 |
1528248820 | Menorah Park Center for Senior Living | Hospice Care, Community Based | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-11-05 |
1295938272 | Menorah Park Center for Senior Living | Clinic/Center | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-06-07 |
1104032705 | Menorah Park Center for Senior Living | Day Training, Developmentally Disabled Services | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-05-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MENORAH PARK CENTER FOR SENIOR LIVING | 27100 Cedar Rd, Cleveland, OH 44122-1156 |
Street Address |
27100 CEDAR RD |
City | BEACHWOOD |
State | OH |
Zip Code | 44122-1109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437784154 | Kelly Runkel | Physical Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2020-03-04 |
1952965386 | Sierra Capriece Gausha | Registered Nurse | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2019-05-01 |
1114401148 | Kayla Elizabeth Aiosa | Nurse Practitioner | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-09-14 |
1134600950 | Kathleen Ondak | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-29 |
1689155178 | Angela Marie Holpuch | Physical Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-23 |
1275014946 | Julianna Leigh Scott | Speech-Language Pathologist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-22 |
1861972648 | Courtney Stanley | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-21 |
1285114421 | Marla Pease | Occupational Therapist | 27100 Cedar Rd, Beachwood, OH 44122-1156 | 2018-08-17 |
1952881344 | Danielle Dimitris Lewis | Physical Therapy Assistant | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-15 |
1780164376 | Pauline Bucholtz | Physical Therapy Assistant | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2018-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
Find all providers in zip 44122 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730663139 | Pamela Sue Williams | Nursing Facility/Intermediate Care Facility | 1112 Wamajo Dr, Sandusky, OH 44870-4368 | 2018-09-20 |
1407363849 | Provider Services LLC | Nursing Facility/Intermediate Care Facility | 3071 Dunbarton Ave Nw, Canton, OH 44708-1818 | 2018-01-08 |
1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
1700323631 | Mika Derifield | Nursing Facility/Intermediate Care Facility | 205 S Pardee St, Wadsworth, OH 44281-1465 | 2017-01-30 |
1336693860 | Taria Thompson | Nursing Facility/Intermediate Care Facility | 613 E 102nd St, Cleveland, OH 44108-1326 | 2016-08-13 |
1205389319 | Soamazin Automotive | Nursing Facility/Intermediate Care Facility | 14115 Maplerow Ave, Cleveland, OH 44105-6447 | 2016-07-26 |
1194198143 | Christina Laury | Nursing Facility/Intermediate Care Facility | 7666 Clovernook Ave, Cincinnati, OH 45231-3506 | 2015-11-12 |
1437539483 | Arlington Pointe Investment Group, LLC | Nursing Facility/Intermediate Care Facility | 4900 Hendrickson Road, Middletown, OH 45044 | 2015-06-04 |
1972981322 | Toward Independence Inc. | Nursing Facility/Intermediate Care Facility | 1841 Pueblo Dr, Xenia, OH 45385-4228 | 2015-05-18 |
1053799783 | Toward Independence Inc. | Nursing Facility/Intermediate Care Facility | 5021 Oaklawn Dr, Cincinnati, OH 45227-1433 | 2015-05-14 |
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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.