Shaker Heights, LTC, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2047N Issued in OH

Legal business name

SHAKER HEIGHTS, LTC, LLC

Practice address

3550 Northfield Rd
Shaker Heights, OH 44122-5253

Phone

(216) 752-5600

Fax

(216) 752-8133

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Andrews

Title

Administrator

Phone

(216) 752-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shaker Gardens Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033250451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 NORTHFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225253",
            "telephone_number": "216-752-5600",
            "fax_number": "216-752-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NORTHFIELD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225253",
            "telephone_number": "216-752-5600",
            "fax_number": "216-752-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER HEIGHTS, LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-752-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "2047N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaker Gardens Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaker Gardens Opco LLC
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• Shaker Heights Spinal and Rehabilitation
• Shaker Heights Surgical Center, LLC
• Shaker Heights Youth Center
• Shaker Women'S Wellness, LLC
• Hebba Shamia
• Kelli M Shanklin, LPC
• Cheri Shapero
• Jenna Shatrich, LPC

• Nursing Facility/Intermediate Care Facility in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.