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MENORAH PARK CENTER FOR SENIOR LIVING NPI 1295938272


NPI Information

NPI: 1295938272
Provider Name: MENORAH PARK CENTER FOR SENIOR LIVING
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 36D0683710

Address:
27100 CEDAR RD
BEACHWOOD, OH
ZIP 44122
Phone: (216) 831-6500
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MENORAH PARK CENTER FOR SENIOR LIVING is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Beachwood, OH. MENORAH PARK CENTER FOR SENIOR LIVING NPI is 1295938272. The provider is registered as an organization entity type.

The provider's business location address is:

27100 CEDAR RD
BEACHWOOD, OH
ZIP 44122-109
Phone: (216) 831-6500
Fax: (216) 831-5492

The provider's authorized official is Juliann Minnie .
The authorized official title is Director Revenue Cycle and has the following contact phone number (216) 831-6500.

The CLIA number assigned to this NPI record is 36D0683710 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 7/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12395377MEDICAIDOHIO

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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