MS. JENNIFER LAUREEN DOUGHTY (NPI# 1659568004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659568004 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LAUREEN DOUGHTY |
| Credential | COTA/L |
| Practice Address |
7201 Wade Park Ave Cleveland OH 44103-2765 |
| Mailing Address |
7201 Wade Park Ave Cleveland OH 44114 |
| Practice Telephone | 2163616141 |
| Mailing Telephone | 2163616141 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OTA1211 | OH | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629430236 | Jennifer Lynn Doughty | Licensed Practical Nurse | 69222 Tipton Avenue, Anchor Point, AK 99556 | 2016-03-23 |
| 1225481708 | Jennifer Doughty | Pharmacist | 1500 Sw 10th Ave, Topeka, KS 66604-1301 | 2016-07-19 |
| Street Address |
7201 WADE PARK AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438145 | Eliza Bryant Village | Skilled Nursing Facility | 7201 Wade Park Ave, Cleveland, OH 44103 | 2005-09-27 |
| 1164989679 | Angela Formanik | Physical Therapist | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2019-02-21 |
| 1659684421 | Michelle Flowers Thomas | Skilled Nursing Facility | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2010-07-21 |
| 1285947051 | Stephanie A Miklich | Skilled Nursing Facility | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2010-07-21 |
| 1649583527 | Kimberly Suzanne Ward | Skilled Nursing Facility | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2010-07-20 |
| 1881907921 | Genesis Rehabilitation Services | Skilled Nursing Facility | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2010-07-19 |
| 1942430368 | Ty Christian Arsenault | Physical Therapy Assistant | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2009-07-20 |
| 1780889550 | Jaclyn Perdziak | Physical Therapy Assistant | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2007-06-20 |
| 1851593776 | Anthony Raymond Ramirez | Physical Therapist | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2007-06-04 |
| 1760596951 | Denise L Coyner | Nurse Practitioner | 7201 Wade Park Ave, Cleveland, OH 44103-2765 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| 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.