ST AUGUSTINE MANOR NPI 1033599105

NPI Information

NPI: 1033599105
Provider Name: ST AUGUSTINE MANOR

Other Name: ST AUGUSTINE MANOR PROFESSIONAL SERVICES

Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
7801 DETROIT AVE
CLEVELAND, OH
ZIP 44102
Phone: (216) 634-7400
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ST AUGUSTINE MANOR is a gerontology nurse practitioner in Cleveland, OH. ST AUGUSTINE MANOR NPI is 1033599105. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St Augustine Manor Professional Services.

The provider's business location address is:

7801 DETROIT AVE
CLEVELAND, OH
ZIP 44102-813
Phone: (216) 634-7400
Fax: (216) 634-7483

The provider's authorized official is Francis S Huba .
The authorized official title is Chief Financial Officer and has the following contact phone number (216) 634-7555.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 6/4/2015.

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	363LG0600X	Nurse Practitioner	Gerontology			Yes

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

NPI Synchronization or Removal

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