LUTHERAN HOSPITAL (NPI# 1912950551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912950551 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOSPITAL |
| Practice Address |
1730 W 25th St Cleveland OH 44113-3108 |
| Mailing Address |
6801 Brecksville Rd Suite 20 Rk10 Independence OH 44131-5032 |
| Practice Telephone | 2166964300 |
| Mailing Telephone | 2166368051 |
| Mailing Fax Number | 2166368088 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN GLASS (CFO) |
| Authorized Official Telephone | 2164449361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1149 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 0000000205148 | 01 | |
| UNITED HEALTHCARE | 5000041 | 01 | |
| CHAMPUS | 0025690 | 01 | |
| KAISER | 100135 | 01 | |
| AETNA | 0064535 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962437947 | Lutheran Hospital | Psychiatry & Neurology | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-07-11 |
| 1194763045 | Lutheran Hospital | General Acute Care Hospital | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| 1003854951 | Lutheran Hospital | Psychiatric Unit | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| 1558309401 | Lutheran Hospital | Rehabilitation Unit | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN HOSPITAL - LA CROSSE | 1900 South Avenue, La Crosse, WI 54601-5467 |
| Colorado Business Entities | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY | 106 Blanca Ave, Alamosa, CO 81101 |
| Street Address |
1730 W 25TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092602 | Mark H Frankel | Psychiatry & Neurology | 1730 W 25th St, Ste 2a, Cleveland, OH 44113-3108 | 2005-06-09 |
| 1134746696 | Anna Caraboolad | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-07-01 |
| 1497372189 | Alexandria Mancuso | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-06-29 |
| 1073132007 | Paulina Michalik | Registered Nurse | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-04-09 |
| 1023641099 | Miguel Angel Melendez | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-02-19 |
| 1942847017 | Renessa Banks | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-12-06 |
| 1487298527 | Anica Bulat | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-11-01 |
| 1811457203 | Alyson Bobulsky | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-03-21 |
| 1831663715 | Lori Ann Kauchuk | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-01-14 |
| 1578035143 | Thomas Corcoran Connelly | Counselor | 1730 W 25th St, Cleveland, OH 44113-3108 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| 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 |
| 1396883591 | St Augustine Manor | Skilled Nursing Facility | 7801 Detroit Avenue, Cleveland, OH 44102 | 2007-02-01 |
| 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 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on LUTHERAN HOSPITAL.
| 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.