The Metrohealth System
Organization Active NPI Skilled Nursing Facility · Cleveland, OH
NPI 1043477904 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1043477904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE METROHEALTH SYSTEM
- Practice address
- 4310 Richmond Rd
Cleveland, OH 44122-6106 - Phone
- (216) 957-2442
- Fax
- (216) 957-2408
- NPI assigned
- May 19, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- THE METROHEALTH SYSTEM
Authorized official
- Name
- Mrs. Nancy Fisher Crum
- Title
- Vice President Cfo
- Phone
- (216) 775-5716
Corporate family (same tax ID) 37
National Provider Directory
- Tax ID family
- Metrohealth West Park
- Part of
- Metrohealth West Park
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
4310 Richmond Rd
Cleveland, OH 44122-6106
Mailing address
2500 Metrohealth Dr
Attn Linda Greenhill PFS Supervisor
Cleveland, OH 44109-1900
Phone (216) 957-2442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0034537 | Medicaid | OH |
Other names
- METROHEALTH CENTER FOR SKILLED NURSING CARE EAST
NPI Registry JSON
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1043477904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 METROHEALTH DR",
"address_2": "ATTN LINDA GREENHILL PFS SUPERVISOR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441091900",
"telephone_number": "216-957-2442",
"fax_number": "216-957-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 RICHMOND RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441226106",
"telephone_number": "216-957-2442",
"fax_number": "216-957-2408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE METROHEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
"enumeration_date": "2008-05-19",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "FISHER CRUM",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "VICE PRESIDENT CFO",
"authorized_official_telephone_number": "216-775-5716",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034537",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "METROHEALTH CENTER FOR SKILLED NURSING CARE EAST",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "METROHEALTH CENTER FOR SKILLED NURSING CARE EAST",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.