Eldercare Services Institute, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELDERCARE SERVICES INSTITUTE, LLC

Practice address

11890 Fairhill Rd
Cleveland, OH 44120-1053

Phone

(216) 791-8000

Fax

(216) 373-1816

NPI assigned

Dec 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary S Marita, LNHA,MHSA

Title

Chief Operating Officer

Phone

(216) 373-1807

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eldercare Services Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eldercare Services Institute, LLC

  • Counselor
  • Cleveland, OH
  • NPI 1487377834
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/benrose/r4/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1013554245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 FAIRHILL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201053",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 FAIRHILL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201053",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE SERVICES INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "MARITA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-373-1807",
        "authorized_official_credential": "LNHA,MHSA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Rachelle Elder
• Colby Alan Elder, MD
• Gail Elder, RN
• Taijia Elder
• Yolanda G Elder
• Eldercare Services Institute, LLC
• Eldercare Services Institute, LLC
• Eldercare Services Institute,LLC
• Luai Eldweik
• Mervat Elebrashy

• Community/Behavioral Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.