Grace Hospital

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

GRACE HOSPITAL

Practice address

2307 W 14TH St
Cleveland, OH 44113-3612

Phone

(216) 687-4014

Fax

(216) 687-4027

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary K. Chentnik, J.D., RHIT, CPHQ

Title

Vice President, Quality Management

Phone

(216) 687-4014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Hospital certification: CCN 362015

Legal name

GRACE HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Jul 1, 1995

Last certification

Mar 20, 2014

Beds

104 (29 certified)

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Nov 1, 1910 in OH

Enrollment address

7007 Powers Blvd
Parma, OH 44129-5437
Main/Primary Hospital Location

Hospital subgroups

Long-term

Hospital certification: CCN 360104

Legal name

GRACE HOSPITAL

Certification status

Terminated Other: provider status change, Jul 1, 1995

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Jul 26, 1990

Beds

87

Ownership / control type

Other

Facility address

2307 W 14TH St
Cleveland, OH 44113

Listed as

Grace HospitalCCN 362015

Ownership

Non-profit

Certified

Jul 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Beds

104

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Specialty Hospital of Lorain

  • Long Term Care Hospital
  • Amherst, OH
  • NPI 1326118597

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nizar Nader, MD

  • Pulmonary Disease Physician
  • Stow, OH
  • NPI 1679542567

  Corporate Director

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Emil Mandat, MD

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1881792794
  NPD (past)
• Kourosh Saghafi

  • Geriatric Medicine (Internal Medicine) Physician
  • Parma, OH
  • NPI 1659358950
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Thomas Emil Mandat, MD

  • Internal Medicine Physician
  • Parma, OH
  • NPI 1881792794

  Long-term care hospital

  Care Compare affiliation
• Kourosh Saghafi

  • Geriatric Medicine (Internal Medicine) Physician
  • Parma, OH
  • NPI 1659358950

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1124117205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133612",
            "telephone_number": "216-687-4014",
            "fax_number": "216-687-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133612",
            "telephone_number": "216-687-4014",
            "fax_number": "216-687-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "CHENTNIK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "VICE PRESIDENT, QUALITY MANAGEMENT",
        "authorized_official_telephone_number": "216-687-4014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "J.D., RHIT, CPHQ"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3337400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Grabowski, LSW
• Robert Lee Grabowski, AGACNP-BC, CPNP-AC
• Troy Grabowski
• Shawna Grabski, RBT
• Grace Haven Living LLC
• Grace Living Support LLC
• Aja M Grace, LPN
• Breanne Martina Grace, RN
• Claire Elizabeth Grace
• Daresha Joy Grace, RN

• Special Hospital in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Special Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.