NEW MANNA CLG, LLC (NPI# 1972149268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972149268 |
| Entity Type | Organization |
| Organization Name | NEW MANNA CLG, LLC |
| Practice Address |
25501 Chagrin Blvd Beachwood OH 44122-5603 |
| Mailing Address |
Po Box 74769 Cleveland OH 44194-0852 |
| Practice Telephone | 2165454800 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | ROBERT BRIAN TRACZ (SR VP/CFO) |
| Authorized Official Telephone | 4403541642 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW MANNA CLG LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Lake Health Beachwood Allied Health Professionals | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841789427 | New Manna Clg, LLC | General Acute Care Hospital | 25501 Chagrin Blvd, Beachwood, OH 44122 | 2018-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEW MANNA CLG, LLC | 25501 Chagrin Blvd, Beachwood, OH 44122-5603 |
| Street Address |
25501 CHAGRIN BLVD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700024130 | David D Cella | Nurse Anesthetist, Certified Registered | 25501 Chagrin Blvd, Beachwood, OH 44122-5603 | 2009-01-22 |
| 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 |
| 1841789427 | New Manna Clg, LLC | General Acute Care Hospital | 25501 Chagrin Blvd, Beachwood, OH 44122 | 2018-05-09 |
| 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 |
| 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 Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841789427 | New Manna Clg, LLC | General Acute Care Hospital | 25501 Chagrin Blvd, Beachwood, OH 44122 | 2018-05-09 |
| 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 |
| 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 | ||||
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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.