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CLUB GREEN CORPORATION NPI 1639940547


NPI Information

NPI: 1639940547
Provider Name: CLUB GREEN CORPORATION

Doing Business As: BETTER CARE PROVIDER NETWORK

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
3602 MOBILE CT
CLEVELAND, OH
ZIP 44109
Phone: (330) 803-5644
Get Directions

CLUB GREEN CORPORATION is a home health in Cleveland, OH. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CLUB GREEN CORPORATION NPI is 1639940547. The provider is registered as an organization entity type.
The provider Is Doing Business As Better Care Provider Network.

The provider's business location address is:

3602 MOBILE CT
CLEVELAND, OH
ZIP 44109-206
Phone: (330) 803-5644

The provider's authorized official is Nadir Hazly .
The authorized official title is Executive Director and has the following contact phone number (214) 701-7227.

The enumeration date for this NPI number is 1/10/2024 and was last updated on 3/31/2024.


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
1174200000XMealsNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3251E00000XHome HealthYes
4253Z00000XIn Home Supportive CareNo
5261QA0600XClinic/CenterAdult Day CareNo
6332U00000XHome Delivered MealsNo
7343900000XNon-emergency Medical Transport (VAN)No
8347C00000XPrivate VehicleNo
9376J00000XHomemakerNo
10385H00000XRespite CareNo
11385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.