BELLEFAIRE JCB NPI 1457747537

NPI Information

NPI: 1457747537
Provider Name: BELLEFAIRE JCB

Other Name: MONARCH BOARDING ACADEMY - SOUTH

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118
Phone: (216) 932-2800
Get Directions

BELLEFAIRE JCB is a residential treatment facility, intellectual and/or developmental disabilities in Shaker Heights, OH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BELLEFAIRE JCB NPI is 1457747537. The provider is registered as an organization entity type.
The provider Other Name Is Monarch Boarding Academy - South.

The provider's business location address is:

22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118-819
Phone: (216) 932-2800
Fax: (216) 932-6704

The provider's authorized official is Thomas J Browne .
The authorized official title is Cfo and has the following contact phone number (216) 320-8221.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 4/15/2015.

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	251X00000X	Supports Brokerage		06-7516	OHIO	No
2	261QD1600X	Clinic/Center	Developmental Disabilities	06-7516	OHIO	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	06-7516	OHIO	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness		06-7516	OHIO	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		06-7516	OHIO	No
6	323P00000X	Psychiatric Residential Treatment Facility		06-7516	OHIO	No
7	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	06-7516	OHIO	No
8	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	06-7516	OHIO	No
9	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		06-7516	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	2419958	OTHER	OHIO	MRDD-ODJFS
2	2847183	MEDICAID	OHIO
3	2864226	MEDICAID	OHIO
4	02447	OTHER	OHIO	UPIN
5	0525337	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: 5/5/2024

NPI Synchronization or Removal

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