CUYAHOGA COUNTY BD. OF MRD (NPI# 1235343179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235343179 |
| Entity Type | Organization |
| Organization Name | CUYAHOGA COUNTY BD. OF MRD |
| Other Organization Name | WALLINGS HOUSE |
| Practice Address |
2491 E Wallings Rd Broadview Hts OH 44147-1371 |
| Mailing Address |
1275 Lakeside Ave E Cleveland OH 44114-1132 |
| Practice Telephone | 2167362625 |
| Practice Fax Number | 2167362702 |
| Mailing Telephone | 2167362625 |
| Mailing Fax Number | 2167362702 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRENCE RYAN (SUPERINTENDENT) |
| Authorized Official Telephone | 2167362625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1814200 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0907184 | 05 |
| Other Name | Type Code |
|---|---|
| Wallings House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346454287 | Cuyahoga County Bd. of Mrd | Intermediate Care Facility, Mentally Retarded | 19855 Grand Blvd, Euclid, OH 44117-2200 | 2007-05-10 |
| Street Address |
2491 E WALLINGS RD |
| City | BROADVIEW HTS |
| State | OH |
| Zip Code | 44147-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980827 | Alexandra Pittaway | Technician | 8425 Cherry Hill Lane, Broadview Heights, OH 44147 | 2019-09-06 |
| 1326601733 | Matthew Kubalski | Physical Therapist | 7000 Town Centre Drive, Suite 400, Broadview Heights, OH 44147 | 2019-04-22 |
| 1477027860 | Tera Chmura | Behavioral Analyst | 3681 Braemar Dr, Broadview Heights, OH 44147 | 2019-01-18 |
| 1104302520 | David Huang | General Practice | 2828 Lydia Dr, Broadview Hts, OH 44147 | 2018-07-18 |
| 1558536813 | Christmas Home Health, LLC | Home Health | 2104 Stoney Run Circle, Broadview Hts., OH 44147 | 2008-04-28 |
| 1609057124 | Debra L Klein | Physician Assistant | One Eagle Valley Court, Broadview Hts, OH 44147 | 2007-11-27 |
| 1114110764 | Rosemarie Theresa Santiago | Licensed Practical Nurse | 9622 Amberwood Ct, Broadview Hts, OH 44147 | 2007-08-27 |
| 1972724615 | Donna Rowan Culley | Speech-Language Pathologist | 3505 East Royalton Road, Broadview Heights, OH 44147 | 2007-05-01 |
| 1437180247 | Southwest Endodontics & Periodontics | Dentist | 1000 W Wallings Rd, Suite B Southwest Endo & Perio Inc, Broadview Heights, OH 44147 | 2006-07-06 |
| 1457834871 | Julie Ann Pinter | Speech-Language Pathologist | 3505 East Royalton Road, Suite 221, Broadview Heights, OH 44147 | 2018-09-11 |
| Find all providers in zip 44147 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | BROADVIEW HTS |
| Zip Code | 44147 |
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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.