PALM CREST BELLAIRE,INC. (NPI# 1275537268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275537268 |
| Entity Type | Organization |
| Organization Name | PALM CREST BELLAIRE,INC. |
| Practice Address |
12709 Bellaire Rd Cleveland OH 44135-4821 |
| Practice Telephone | 2169414545 |
| Practice Fax Number | 2169416640 |
| Mailing Telephone | 2169414545 |
| Mailing Fax Number | 2169416640 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN ROTENBERRY (CFO) |
| Authorized Official Telephone | 4402394300 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3892 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0350721 | 05 |
| Street Address |
12709 BELLAIRE RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44135-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387840 | Zachary David Pichler | Counselor | 17113 Martha Rd, Cleveland, OH 44135 | 2018-05-25 |
| 1487176301 | Mary Ann Mtonga | Nurse's Aide | 12600 Crossburn Ave, Cleveland, OH 44135 | 2017-07-12 |
| 1477963007 | Judy Rae Brimacombe | Occupational Therapist | 4550 W. 150th Street, Rg Jones Elementary School, Cleveland, OH 44135 | 2014-05-05 |
| 1548688799 | West Park Academy, Inc. | Local Education Agency (LEA) | 12913 Bennington, Cleveland, OH 44135 | 2014-04-04 |
| 1265724108 | Applewood Centers Incorporated | Community/Behavioral Health | 15517 Louis Avenue, Cleveland, OH 44135 | 2011-05-11 |
| 1932343480 | Alpha Home Health Agency,llc | Home Health | 14836 Puritas Avenue, Cleveland, OH 44135 | 2009-04-28 |
| 1811035256 | Abeel A Mangi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Desk H-35, Cleveland Clinic Foundation, Cleveland, OH 44135 | 2007-02-01 |
| 1548341126 | Walter Michael Vieweg | Family Medicine | 5900 South Cargo Rd, Cleveland, OH 44135 | 2006-10-18 |
| 1245331511 | Javier L Clemente | Specialist/Technologist, Other | 18099 Lorain Rd, Ste 316, Cleveland, OH 44135 | 2006-09-26 |
| 1346254372 | Frank Joseph Kysela Iv | Dentist | 4406 Rocky River Dr, Cleveland, OH 44135 | 2006-07-27 |
| Find all providers in zip 44135 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239894 | Tyler Joseph Gajdos | Skilled Nursing Facility | 4398 W 19th St, Cleveland, OH 44109-3638 | 2016-07-13 |
| 1720494495 | Tayler Cade | Skilled Nursing Facility | 1435 Clermont Rd, Cleveland, OH 44110-2806 | 2014-07-02 |
| 1619315884 | Genesis Rehab | Skilled Nursing Facility | 520 E 103rd St, Cleveland, OH 44108-1330 | 2013-06-11 |
| 1134306012 | Tri-med Pharmacy Services, LLC #3 | Skilled Nursing Facility | 2195 Varnell Rd Sw, Cleveland, TN 37311-7347 | 2008-01-23 |
| 1508057456 | Lp Cleveland LLC | Skilled Nursing Facility | 2750 Executive Park Nw, Cleveland, TN 37312-2722 | 2007-08-06 |
| 1770602435 | Dynamic Cleveland Operating Company LLC | Skilled Nursing Facility | 200 N Martin Luther King Dr, Cleveland, MS 38732-2821 | 2007-03-27 |
| 1396883591 | St Augustine Manor | Skilled Nursing Facility | 7801 Detroit Avenue, Cleveland, OH 44102 | 2007-02-01 |
| 1902958267 | Fairview Village Retirement Community, Ltd | Skilled Nursing Facility | 4110 Rocky River Dr, Cleveland, OH 44135-1175 | 2007-01-17 |
| 1376600098 | Hilo Medical Investors Ltd. | Skilled Nursing Facility | 3001 Keith St Nw, Cleveland, TN 37312-3713 | 2007-01-02 |
| 1891860656 | Cleveland Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 4036 Highway 8 East, Cleveland, MS 38732 | 2006-11-21 |
| 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.