BJ'S HAVEN /BJ'S HAVEN II (NPI# 1942519723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942519723 |
| Entity Type | Organization |
| Organization Name | BJ'S HAVEN /BJ'S HAVEN II |
| Other Organization Name | BJ'S HAVEN ADULT CARE FACIALITY |
| Practice Address |
3934 E 75th St 7426 Worley Avenue Cleveland OH 44105-3800 |
| Mailing Address |
7426 Worley Ave Cleveland OH 44105-3835 |
| Practice Telephone | 2162061868 |
| Mailing Telephone | 2162061868 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | BILLIE JEAN MCALLISTER (EXECUTOR,TRUSTEE) |
| Authorized Official Telephone | 2162061868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
2679AFH | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| BJ'S HAVEN ADULT CARE FACIALITY | Doing Business As Name - Organization |
| Street Address |
3934 E 75TH ST 7426 WORLEY AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043244395 | Roger's Retirement Center, Inc. | Assisted Living Facility | 966 E 146th St, Cleveland, OH 44110-3729 | 2006-07-11 |
| 1841525672 | Vantage Place Inc | Assisted Living Facility | 3105 Franklin Blvd, Cleveland, OH 44113-2946 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1104375013 | Mattmo Outreach Residential Serivces | Assisted Living Facility | 135 S Liberty St, Delaware, OH 43015-2568 | 2016-10-04 |
| 1437403508 | Fairview Meadows Care Center, Inc. | Assisted Living Facility | 512 W Jackson St, Millersburg, OH 44654-8400 | 2012-10-29 |
| 1740599885 | Just People | Assisted Living Facility | 4506 Springmeadow Dr, Cincinnati, OH 45229-1122 | 2010-10-06 |
| 1841354156 | L & H Home Care, LLC | Assisted Living Facility | 95 N Arlington St, Akron, OH 44305-2447 | 2006-12-21 |
| 1033210844 | Midwest Health Services, Inc. | Assisted Living Facility | 11 Lincoln Way W, 5a, Massillon, OH 44647-6585 | 2006-09-26 |
| 1942760202 | Margaret Ferda | Assisted Living Facility | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-03-22 |
| 1588123491 | Erin L Mcmahon | Assisted Living Facility | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-03-19 |
| 1689012528 | The Carlyle House Inc | Assisted Living Facility | 3490 Far Hills Ave, Kettering, OH 45429-2500 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
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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.