CUYAHOGA COUNTY BD OF MRDD


Address: 1905 Green Rd, Cleveland, OH 44112-1021
Phone: 2167362526

CUYAHOGA COUNTY BD OF MRDD (NPI# 1407060684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407060684
Entity Type Organization
Organization Name CUYAHOGA COUNTY BD OF MRDD
Other Organization Name GREEN HOUSE
Practice Address 1905 Green Rd
Cleveland
OH 44112-1021
Mailing Address 1275 Lakeside Ave E
Cleveland
OH 44114-1132
Practice Telephone 2167362526
Practice Fax Number 2167362702
Mailing Telephone 2167362625
Mailing Fax Number 2167362702
Enumeration Date 2007-05-09
Last Update Date 2020-08-22
Authorized Official Name MR. TERRENCE RYAN (SUPERINTENDENT)
Authorized Official Telephone 2167362625
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 1815533 OH Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 2538525 05

Other Provider/Organization Names

Other Name Type Code
Green House Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609081322 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 18005 Howe Rd, Strongsville, OH 44136-7609 2007-05-14
1518172238 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 26365 Tryon Rd, Bedford, OH 44146-5969 2007-05-14
1427263144 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 7211 W 130th St, Parma, OH 44130-7814 2007-05-14
1790990414 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 19853 Grand Blvd, Euclid, OH 44117-2200 2007-05-14
1568676765 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 5041 Lee Rd, Maple Heights, OH 44137-1227 2007-05-09
1073727285 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 29400 Cedar Rd, Pepper Pike, OH 44124-4408 2007-05-09
1487868790 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 4248 W 35th St, Cleveland, OH 44109-3108 2007-05-09
1700090925 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 1374 Edendale St, Cleveland Hts, OH 44121-1627 2007-05-09
1497969620 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 23050 Euclid Ave, Euclid, OH 44117-1625 2007-05-09
1952515157 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 250 Maplelawn Dr, Berea, OH 44017-2815 2007-05-09

Office Location

Street Address 1905 GREEN RD
City CLEVELAND
State OH
Zip Code 44112-1021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871159152 Rose-mary, The Johanna Grasselli Rehabilitation and Education Center Intermediate Care Facility, Mentally Retarded 1905 Green Rd, Cleveland, OH 44112-1021 2019-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538778402 Trichelle Latrice Banks Licensed Practical Nurse 1400 Lakeview Ed, Cleveland, OH 44112 2020-07-27
1437618048 Paula Williams Mays Social Worker 15998 Henley Road, East Cleveland, OH 44112 2019-03-14
1811403801 Evelyn Lynette Bailey Counselor Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 2017-12-28
1083140800 Tashel Miller Nurse's Aide 1254 Carlson Rd, Cleveland, OH 44112 2017-05-11
1629518675 Ebony Stephens Counselor 13524 Mann Ave, East Cleveland, OH 44112 2017-02-24
1053861708 Quality Home Care Home Health 1252 E. 134th St, East Cleveland, OH 44112 2016-10-06
1780137463 Lavinia Pope Registered Nurse 885 Eloise Dr, Cleveland Heights, OH 44112 2016-07-28
1891147781 Mary L Gates Technician 16156 Forest Hills Blvd, East Cleveland, OH 44112 2016-07-05
1710332085 M.a.g Pharmacy Pharmacy 18325 Euclid Ave, Cleveland, OH 44112 2016-04-25
1467836791 Sherri Mcarthur Registered Nurse 939 Dresden Rd, Cleveland Heights, OH 44112 2015-07-16
Find all providers in zip 44112

Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700201118 Tamara M Cowans Intermediate Care Facility, Mentally Retarded 9409 Easton Ave, Cleveland, OH 44104-5417 2014-02-21
1679877518 Life Bridges, Inc. Intermediate Care Facility, Mentally Retarded 207 Kile Lake Road, Cleveland, TN 37323 2011-01-07
1376847251 Life Bridges, Inc. Intermediate Care Facility, Mentally Retarded 209 Kile Lake Road, Cleveland, TN 37323 2011-01-06
1801001524 Cuyahoga County Bd. of Mrdd Intermediate Care Facility, Mentally Retarded 6809 Smith Rd, Cleveland, OH 44130-2681 2007-05-14
1164636007 Cuyahoga County Bd. of Mrdd Intermediate Care Facility, Mentally Retarded 2440 W 14th St, Cleveland, OH 44113-4406 2007-05-10
1427262369 Cuyahoga County Bd. of Mrdd Intermediate Care Facility, Mentally Retarded 2980 Van Aken Blvd, Cleveland, OH 44120-2862 2007-05-10
1487868790 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 4248 W 35th St, Cleveland, OH 44109-3108 2007-05-09
1336353432 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 4520 Monticello Blvd, Cleveland, OH 44143-2840 2007-05-09
1104039924 Cuyahoga County Bd. of Mrdd Intermediate Care Facility, Mentally Retarded 19080 Bagley Rd, Cleveland, OH 44130-3310 2007-05-08
1912121005 New Avenues To Independence, Inc. Intermediate Care Facility, Mentally Retarded 17608 Euclid Ave, Cleveland, OH 44112-1216 2007-04-12
Find all providers in CLEVELAND

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City CLEVELAND
Zip Code 44112

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Dataset Information

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.

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