CUYAHOGA COUNTY BD OF MRDD NPI 1407060684

NPI Information

NPI: 1407060684
Provider Name: CUYAHOGA COUNTY BD OF MRDD

Doing Business As: GREEN HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1905 GREEN RD
CLEVELAND, OH
ZIP 44112
Phone: (216) 736-2526
Get Directions

CUYAHOGA COUNTY BD OF MRDD is an intermediate care facility mentally retarded in Cleveland, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CUYAHOGA COUNTY BD OF MRDD NPI is 1407060684. The provider is registered as an organization entity type.
The provider Is Doing Business As Green House.

The provider's business location address is:

1905 GREEN RD
CLEVELAND, OH
ZIP 44112-021
Phone: (216) 736-2526
Fax: (216) 736-2702

The provider's authorized official is Terrence Ryan .
The authorized official title is Superintendent and has the following contact phone number (216) 736-2625.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		1815533	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2538525	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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