Active NPI
Menorah Park Center for Senior Living
- Home Health Agency
- Beachwood, OH
National Provider Identifier
1104032705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 5870
- Legal business name
- MENORAH PARK CENTER FOR SENIOR LIVING
- Practice address
- 27100 Cedar Rd
Beachwood, OH 44122-1109 - Phone
- (216) 831-6500
- Fax
- (216) 831-5492
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juliann Minnie
- Title
- Director Revenue Cycle
- Phone
- (216) 831-6500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | 5870 | OH | Primary |
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
27100 Cedar Rd
Beachwood, OH 44122-1109
Mailing address
27100 Cedar Rd
Beachwood, OH 44122-1109
Phone (216) 831-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023303 | Medicaid | OH |
Other names 1
- Menorah Park Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1104032705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27100 CEDAR RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221109",
"telephone_number": "216-831-6500",
"fax_number": "216-831-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27100 CEDAR RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221109",
"telephone_number": "216-831-6500",
"fax_number": "216-831-5492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENORAH PARK CENTER FOR SENIOR LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "MINNIE",
"authorized_official_first_name": "JULIANN",
"authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
"authorized_official_telephone_number": "216-831-6500"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "5870",
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023303",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Menorah Park Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Menorah Park Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Beachwood, OH
- Asia Mendez-Calez
- Prateek Mendiratta, M.D.
- Daniel B Mendlovic, MD
- Menorah Life Hospice LLC
- Menorah Park Ambulance and Medical Transportation, LLC
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
- Menorah Park Center for Senior Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.