NPIMap

Organization Active NPI

Rose-Mary the Johanna Grasselli Rehabilitation and Education Center

  • Intellectual Disabilities Intermediate Care Facility
  • Richmond Heights, OH
National Provider Identifier
1124472436
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ROSE-MARY THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER
Practice address
391 Cary Jay Blvd
Richmond Heights, OH 44143-1725
Phone
(216) 481-4823
NPI assigned
Apr 22, 2016
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Gina Kerman
Title
Executive Director
Phone
(216) 481-4823

Specialties & licenses 1

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

Addresses

Primary practice location

391 Cary Jay Blvd
Richmond Heights, OH 44143-1725

Mailing address

5500 S Marginal Rd Ste 110
Cleveland, OH 44103-1009
Phone (216) 481-4823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124472436. Details of each certification follow.

  • CCN 36G710 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G710

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROSE-MARY CARY JAY HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 21, 2016
Last certification
May 30, 2024
Beds
6
Ownership / control type
Private (non-profit)
Facility address
391 Cary Jay Blvd
Richmond Heights, OH 44143

National Provider Directory

National Provider Directory
Tax ID family
Rose-Mary the Johanna Grasselli Rehabilitation and Education Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1124472436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S MARGINAL RD STE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031009",
            "telephone_number": "216-481-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 CARY JAY BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431725",
            "telephone_number": "216-481-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE-MARY THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "KERMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-481-4823"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

Verify at the official NPI Registry.