BENJAMIN ROSE INSTITUTE ON AGING (NPI# 1225096035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225096035 |
| Entity Type | Organization |
| Organization Name | BENJAMIN ROSE INSTITUTE ON AGING |
| Practice Address |
11890 Fairhill Rd Cleveland OH 44120-1053 |
| Practice Telephone | 2163731616 |
| Practice Fax Number | 2163731812 |
| Mailing Telephone | 2163731616 |
| Mailing Fax Number | 2163731812 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | MR. FRANK CARDINALE (VP,CFO) |
| Authorized Official Telephone | 2163731602 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| Y | 251E00000X | Home Health | 367158 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAID-ODJFS | 0478700 | 01 |
| Street Address |
11890 FAIRHILL RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013554245 | Eldercare Services Institute, LLC | Community/Behavioral Health | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2019-12-06 |
| 1003395468 | Shiying Liu | Social Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2018-08-07 |
| 1427543172 | Anne Elizabeth Raleigh | Social Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1000 | 2018-06-26 |
| 1790287845 | Stephanie Selina Calabrese | Community Health Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2018-03-05 |
| 1831690064 | Tahira Amina Wilson | Social Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2018-02-22 |
| 1740780048 | Milica Djordjevic | Community Health Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2018-02-14 |
| 1477052041 | Caren Joyce Culleen | Case Manager/Care Coordinator | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2018-02-08 |
| 1447782891 | Eldercare Services Institute, LLC | Home Health | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2017-04-03 |
| 1427592518 | Mary Allen | Social Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2016-12-08 |
| 1033653365 | Stephanie O'donnell | Social Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2016-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| 1427658152 | Yahaira N/a Mason | Home Health | 5228 E Farnhurst Rd, Cleveland, OH 44124-1240 | 2020-10-30 |
| 1205435807 | Toya Homes Cares Agency LLC | Home Health | 12200 Fairhill Rd Ste C248, Cleveland, OH 44120-1058 | 2020-10-23 |
| 1245847557 | Connections In Ohio, Inc. | Home Health | 8001 Sweet Valley Dr Ste 4, Cleveland, OH 44125-4209 | 2020-09-30 |
| 1487261194 | Ann D Jones | Home Health | 12912 Harvard Ave, Cleveland, OH 44105-4756 | 2020-09-26 |
| 1750998753 | Dennis Wells Jr. | Home Health | 11709 Imperial Ave, Cleveland, OH 44120-3106 | 2020-09-24 |
| 1750996732 | Joan Richelson | Home Health | 2231 S Green Rd, Cleveland, OH 44121-3325 | 2020-09-15 |
| 1912512245 | Norwill Skilled Care | Home Health | 3100 E 45th St Ste 102, Cleveland, OH 44127-1094 | 2020-09-14 |
| 1801405550 | Dayspring Home Healthcare Company | Home Health | 11811 Shaker Blvd Ste 305, Cleveland, OH 44120-1960 | 2020-07-29 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.