NEW MANNA CLG, LLC


Address: 25501 Chagrin Blvd, Beachwood, OH 44122
Phone: 8447468537

NEW MANNA CLG, LLC (NPI# 1841789427) 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) 1841789427
Entity Type Organization
Organization Name NEW MANNA CLG, LLC
Other Organization Name LAKE HEALTH BEACHWOOD MEDICAL CENTER
Practice Address 25501 Chagrin Blvd
Beachwood
OH 44122
Mailing Address 5105 Som Center Rd Fl 3
Willoughby
OH 44094-4203
Practice Telephone 8447468537
Mailing Telephone 4409539600
Mailing Fax Number 4403504503
Enumeration Date 2018-05-09
Last Update Date 2018-09-11
Authorized Official Name ROBERT TRACZ (CFO)
Authorized Official Telephone 4403541051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital Hospitals

Other Provider/Organization Names

Other Name Type Code
Lake Health Beachwood Medical Center Doing Business As Name - Organization
Lake Health Signature Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972149268 New Manna Clg, LLC Physician Assistant 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2019-11-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NEW MANNA CLG, LLC 25501 Chagrin Blvd, Beachwood, OH 44122-5603

Office Location

Street Address 25501 CHAGRIN BLVD
City BEACHWOOD
State OH
Zip Code 44122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700024130 David D Cella Nurse Anesthetist, Certified Registered 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2009-01-22
1972149268 New Manna Clg, LLC Physician Assistant 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2019-11-21
1992346134 Marheanne Abbigail Retardo Nurse Anesthetist, Certified Registered 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2019-09-30
1720641764 Angelo D'agostino Occupational Therapist 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2019-04-16
1164753943 Jaclyn B Warnock Nurse Anesthetist, Certified Registered 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2010-01-19
1518195189 Michael Steven Mcdermott Anesthesiologist Assistant 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2009-06-23
1215176318 Heather Marie Orenic Nurse Anesthetist, Certified Registered 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2009-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760083174 Sophia Denise Moncrieffe-jordan Nurse Practitioner 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 2020-11-03
1447864400 Resilient Bodies LLC Massage Therapist 24300 Chagrin Blvd #312, Beachwood, OH 44122 2020-09-06
1215576087 Hni Emergency Services of Ohio, LLC Nurse Practitioner 22501 Chagrin Blvd, Beachwood, OH 44122 2019-12-27
1013555648 Barbara L Ekelman Phd Inc Psychologist 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 2019-12-13
1417599770 Janise Moore Technician 19600 Gladstone Rd, Warrensville Hts, OH 44122 2019-10-08
1598312704 Nizar Andria Student in an Organized Health Care Education/Training Program Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 2019-08-22
1437703998 Malinda Ann Davis Social Worker 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 2019-08-01
1891265864 Karlan Champagne Case Management 23215 Commerence Park, 306, Beachwood, OH 44122 2018-12-03
1952896565 Donna Pinkney Counselor 20550 University Blvd Apt 206, Shaker Hts, OH 44122 2018-06-26
1255825857 Elizabeth Anne Donathan Registered Nurse 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 2018-06-18
Find all providers in zip 44122

Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780930412 University Hospitals Ahuja Medical Center General Acute Care Hospital 3999 Richmond Rd, Beachwood, OH 44122-6046 2012-07-31
1114272507 Ahuja Medical Center General Acute Care Hospital 3999 Richmond Rd, Beachwood, OH 44122-6046 2012-07-20
1609189604 University Hospitals Ahuja Medical Center, Inc General Acute Care Hospital 3999 Richmond Rd, Beachwood, OH 44122-6046 2010-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558896431 Bridgeport Hospital General Acute Care Hospital 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 2017-04-27
1922547496 Stephen Grater General Acute Care Hospital 970 E Washington St Ste 3a, Medina, OH 44256-2181 2017-02-17
1447797329 Therese Benz General Acute Care Hospital 96000 Euclid Ave., Willoughby, OH 44094 2017-01-30
1467997072 Beverly Jean Cook I General Acute Care Hospital 610 Sanford Ave, Akron, OH 44305-2641 2017-01-05
1154865376 Mercy Health Youngstown, LLC General Acute Care Hospital 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 2016-12-07
1124577705 The Christ Hospital General Acute Care Hospital 502 Walnut Ln, Mason, OH 45040-2018 2016-09-24
1790233195 Kettering Medical Center General Acute Care Hospital 524 Grants Trl, Centerville, OH 45459-3120 2016-09-14
1326497355 John Wallin General Acute Care Hospital 15797 Madison Rd, Middlefield, OH 44062-8408 2016-06-09
1649628595 Gina John General Acute Care Hospital 14205 Liberty Ave, Cleveland, OH 44135-1461 2016-06-01
1033571351 University of Pittsburgh Medical Center General Acute Care Hospital 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 2016-03-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City BEACHWOOD
Zip Code 44122

Improve Information

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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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