City of Broadview Heights

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF BROADVIEW HEIGHTS

Practice address

3591 E Wallings Rd
Broadview Heights, OH 44147-1412

Phone

(440) 526-4493

Fax

(440) 526-6153

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey J. Hajek

Title

Fire Chief

Phone

(440) 526-4493

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1083603864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 E WALLINGS RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471412",
            "telephone_number": "440-526-4493",
            "fax_number": "440-526-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BROADVIEW HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "HAJEK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "440-526-4493"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367302",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "346000033900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "370590001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000155958",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007199",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray Mark Encorporado Carzano
• Tracy Chappell
• Inna Cheban, PHARMD
• Kelly M Christean, PA-C, MS
• Christmas Home Health
• Cjpyourchoiceseniorcare,LLC
• Daniel Raymond Clapper
• Cleveland Clinic Foundation
• Collaborative Advisors, Inc Dba Synergy Homecare
• Dawn Corrigan

• All providers in Broadview Heights, OH
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.