NPIMap

Organization Active NPI

Geauga County Board of Mental Retardation & Developmental Disabilities

Doing business as Metzenbaum Center

  • Intellectual Disabilities Intermediate Care Facility
  • Chesterland, OH
National Provider Identifier
1124154059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GEAUGA COUNTY BOARD OF MENTAL RETARDATION & DEVELOPMENTAL DISABILITIES
Doing business as
Metzenbaum Center
Practice address
8200 Cedar Rd
Chesterland, OH 44026-3550
Phone
(440) 729-9406
Fax
(440) 729-0131
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald L Rice II
Title
Superintendent
Phone
(440) 729-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X OH Primary

Addresses

Primary practice location

8200 Cedar Rd
Chesterland, OH 44026-3550

Mailing address

8200 Cedar Rd
Chesterland, OH 44026-3550
Phone (440) 729-9406

Other names 1

  • Metzenbaum Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Geauga County Board of Developmental Disabilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124154059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 CEDAR RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263550",
            "telephone_number": "440-729-9406",
            "fax_number": "440-729-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CEDAR RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263550",
            "telephone_number": "440-729-9406",
            "fax_number": "440-729-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAUGA COUNTY BOARD OF MENTAL RETARDATION & DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "440-729-9406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metzenbaum Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterland, OH

Sources for this page

  • 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.