Cleveland Healthcare Group

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1415N Issued in OH

Legal business name

CLEVELAND HEALTHCARE GROUP

Doing business as

Homestead II

Practice address

60 Wood St
Painesville, OH 44077-3332

Phone

(330) 352-0788

Fax

(440) 352-2977

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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

• Homestead II Doing business as

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083718688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WOOD ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773332",
            "telephone_number": "330-352-0788",
            "fax_number": "440-352-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WOOD ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773332",
            "telephone_number": "330-352-0788",
            "fax_number": "440-352-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "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": "1415N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Nicole Chase
• Matt Chesebrough
• Matthew Ciotti, AA
• City of Painesville Ohio Dept (Painesville Fire Department)
• James R Clements, LPCC, LSW, LICDC
• Cleveland Healthcare Group, Inc. (Homestead I)
• Cleveland Shoulder Institute LLC
• Nicole Marie Clinger
• Amy E Cocco, MD
• Ariane Janell Cole

• Skilled Nursing Facility in Painesville, OH
• Providers in Painesville, 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.