Active NPI
Menorah Life Hospice LLC
- Community Based Hospice Care Agency
- Beachwood, OH
National Provider Identifier
1013780733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MENORAH LIFE HOSPICE LLC
- Practice address
- 27100 Cedar Rd
Beachwood, OH 44122-1109 - Phone
- (732) 335-6951
- NPI assigned
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zvi Rosenberg
- Title
- Bo
- Phone
- (732) 335-6951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
27100 Cedar Rd
Beachwood, OH 44122-1109
Mailing address
211 Boulevard of Americas
Lakewood, NJ 08701-4775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241113001611 | OH | Part A Provider - Hospice | 3779017728 | Practice locations: Beachwood, OH |
Hospice certification: CCN 361642
- Legal name
- MENORAH LIFE HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 27, 2008
- Last certification
- Sep 12, 2019
- Ownership / control type
- Non-Profit - Church
- Most recent change of ownership
- Dec 19, 2023
- Organization structure
- LLC
- Incorporated
- Sep 1, 2023 in OH
- Enrollment address
- 27100 Cedar Rd
Beachwood, OH 44122-1109
Care Compare: Hospice
Medicare Care Compare- Listed as
- Menorah Life Hospice LLC
- Ownership
- For-Profit
- Certified
- Mar 27, 2008
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Avraham Rosenberg | 5% Or Greater Direct Ownership Interest | Dec 19, 2023 | 50% |
| Corporate Director | Dec 19, 2023 | 50% | |
| Operational/Managerial Control | Dec 19, 2023 | 50% | |
| Zvi Rosenberg | 5% Or Greater Direct Ownership Interest | Dec 19, 2023 | 50% |
| Corporate Director | Dec 19, 2023 | 50% | |
| Operational/Managerial Control | Dec 19, 2023 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1013780733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BOULEVARD OF AMERICAS",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27100 CEDAR RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221109",
"telephone_number": "732-335-6951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENORAH LIFE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "ROSENBERG",
"authorized_official_first_name": "ZVI",
"authorized_official_title_or_position": "BO",
"authorized_official_telephone_number": "732-335-6951"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
- Melissa Hladek Therapy
- Stephanie Joy Melton, CNP
- Asia Mendez-Calez
- Prateek Mendiratta, M.D.
- Daniel B Mendlovic, MD
- Menorah Park Ambulance and Medical Transportation, LLC
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.