METROHEALTH SYSTEM (NPI# 1699712075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699712075 |
| Entity Type | Organization |
| Organization Name | METROHEALTH SYSTEM |
| Other Organization Name | METROHEALTH SKILLED NURSING SERVICES AT THE OLD BROOKLYN CAMPUS |
| Practice Address |
4229 Pearl Rd Mh Skilled Nrsg Serv@the Senior Health & Wellness Ctr Cleveland OH 44109 |
| Mailing Address |
4229 Pearl Rd Attn: Linda Greenhill Pfs Spvr Rm 2-20-20 Cleveland OH 44109-4218 |
| Practice Telephone | 2169572442 |
| Practice Fax Number | 2169572404 |
| Mailing Telephone | 2169572442 |
| Mailing Fax Number | 2169572404 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | MR. CRAIG RICHMOND (SENIOR VP CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2167785016 |
| Is Organization Subpart | Y |
| Parent Organization Name | METROHEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE DMERC | 0364550001 | 01 |
| OH | 2800231 | 05 |
| Other Name | Type Code |
|---|---|
| METROHEALTH SKILLED NURSING SERVICES AT THE OLD BROOKLYN CAMPUS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434323 | Metrohealth System | Clinic/Center | Metrohealth Broadway Health Center, 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2019-05-29 |
| 1518410869 | Metrohealth System | Pharmacy | 9200 Treeworth Boulevard, Brecksville, OH 44141 | 2016-08-03 |
| 1225499775 | Metrohealth System | Pharmacy | 10 Severance Circleo, Cleveland Heights, OH 44118 | 2016-03-11 |
| 1043619604 | Metrohealth System | Pharmacy | 9885 Rockside Rd Ste 157, Cleveland, OH 44125-6272 | 2014-08-20 |
| 1225382203 | Metrohealth System | General Acute Care Hospital | 7855 Normandie Blvd Apt E63, Middleburg Heights, OH 44130-6985 | 2012-10-30 |
| 1942493663 | Metrohealth System | Pharmacy | 4229 Pearl Rd Rm Sm280, Cleveland, OH 44109-4218 | 2007-08-27 |
| 1083656847 | Metrohealth System | Durable Medical Equipment & Medical Supplies | 3525 Scranton Rd, Cleveland, OH 44109-1960 | 2006-06-13 |
| 1255787867 | Metrohealth System | Clinic/Center | 12301 Snow Rd, Metrohealth System Parma Ambulatory Surgical Center, Parma, OH 44130-1002 | 2016-05-12 |
| 1063873297 | Metrohealth System | Pharmacy | 19999 Rockside Rd, Bedford, OH 44146-2074 | 2016-03-16 |
| 1053772715 | Metrohealth System | Pharmacy | 12301 Snow Rd, Parma, OH 44130-1002 | 2016-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | METROHEALTH SYSTEM LLC | 110 Talisman Way, 310, Raleigh, North Carolina 27615 |
| Street Address |
4229 PEARL RD MH SKILLED NRSG SERV@THE SENIOR HEALTH & WELLNESS CTR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374841 | Karim Habib Lopez | Family Medicine | 4229 Pearl Rd, 2nd Floor, Cleveland, OH 44109-4218 | 2005-05-23 |
| 1518492255 | Alexi Emerick | Occupational Therapist | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2017-05-01 |
| 1851843387 | Elizabeth Galvin | Occupational Therapist | 4229 Pearl Rd, Cleveland, OH 44109 | 2016-11-01 |
| 1952853574 | Margaret Huber Mcgreal | Physical Therapist | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2016-10-31 |
| 1770035776 | Bethany Pasternak | Speech-Language Pathologist | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2016-10-26 |
| 1366994402 | Darcy Kosmerl | Physical Therapist | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2016-10-25 |
| 1558715458 | Caitlin Dacey Stuber | Student in an Organized Health Care Education/Training Program | 4229 Pearl Rd, Cleveland, OH 44109 | 2016-04-17 |
| 1588084255 | Julie Ankney | Physical Therapy Assistant | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2014-04-22 |
| 1245465616 | Eric S Baum | Nurse Practitioner | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2009-05-28 |
| 1467489682 | Metrohealth System | Rehabilitation Unit | 4229 Pearl Rd, Cleveland, OH 44109-4218 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| 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.