Cleveland Healthcare Group, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1873 Issued in OH

Legal business name

CLEVELAND HEALTHCARE GROUP, INC

Doing business as

Walton Manor

Practice address

19859 Alexander Rd
Walton Hills, OH 44146-5345

Phone

(440) 439-4433

Fax

(440) 439-0691

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

William I Weisberg

Title

Its VP

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walton Manor Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073624128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19859 ALEXANDER RD",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465345",
            "telephone_number": "440-439-4433",
            "fax_number": "440-439-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19859 ALEXANDER RD",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465345",
            "telephone_number": "440-439-4433",
            "fax_number": "440-439-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ITS VP",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513266",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aventura at Walton Hills LLC
• Aventura at Walton Hills LLC
• James Vincent Baerman
• Pamela Briggs
• Amy B Clawson
• Judithann Colella, PTA
• Cuyahoga County BD. of MRDD
• Richard Alan Freudeman, COTA
• Barinyima A Gimah, MD
• Angela Godbey

• Skilled Nursing Facility in Walton Hills, OH
• Providers in Walton Hills, OH by specialty
• Skilled Nursing 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.