Specialty Hospital of Cleveland, Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

1434 Issued in OH

Legal business name

SPECIALTY HOSPITAL OF CLEVELAND, INC.

Doing business as

Kindred Hospital - Cleveland - Gateway

Practice address

2351 E 22ND St
7TH Floor
Cleveland, OH 44115-3111

Phone

(216) 592-2830

Fax

(216) 592-2831

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kindred Hospital - Cleveland - Gateway Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 360255

Legal name

SPECIALTY HOSPITAL OF CLEVELAND

Certification status

Terminated Other: provider status change, Oct 1, 2000

Provider type (POS)

Hospital – Short-term

Participating since

Mar 18, 2000

Last certification

Mar 17, 2000

Beds

75

Ownership / control type

Private (for profit)

Facility address

2351 E 22ND St, 7TH FL
Cleveland, OH 44115

Tax ID family

Select Specialty Hospital -4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Select Specialty Hospital - Cleveland, LLC

  • Long Term Care Hospital
  • Cleveland, OH
  • NPI 1063871820
  NPD tax ID
• Select Specialty Hospital - Cleveland, LLC

  • Hospitalist Physician
  • Cleveland, OH
  • NPI 1104289396
  NPD tax ID
• Specialty Hospital of Cleveland, Inc.

  • Long Term Care Hospital
  • Cleveland, OH
  • NPI 1447321906
  NPD tax ID

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1114005659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "address_2": "K-LIVE 5 REIMBURSEMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "address_2": "7TH FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-592-2830",
            "fax_number": "216-592-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOSPITAL OF CLEVELAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000309904",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2420606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Cleveland - Gateway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanna Spears
• Stacey Spears
• Tilly Spears
• Gretchen Specht
• Julia Elaine Specht, MD
• Specialty Hospital of Cleveland, Inc.
• Brittney L Speck
• Phillip M Speck, QMHS
• Stacy M Speck, RD, RN, APN
• Emily Spector, MS

• Long Term Care Hospital in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Long Term Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.