Active NPI
Stella Maris, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Cleveland, OH
National Provider Identifier
1174572168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- STELLA MARIS, INC.
- Practice address
- 1292 Winslow Ave
Cleveland, OH 44113-2334 - Phone
- (216) 781-0550
- NPI assigned
- May 8, 2006
- 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
- Mrs. Margaret Roche
- Title
- Executive Director
- Phone
- (216) 781-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | OH | Primary |
Addresses
Primary practice location
1292 Winslow Ave
Cleveland, OH 44113-2334
Mailing address
1320 Washington Ave
Cleveland, OH 44113-2333
Phone (216) 781-0550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7045 | Other | OH | UPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2146542 | Stella Maris, Inc Supportive Housing | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Stella Maris
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cleveland, OH
- NPI 1467598391
-
- Adult Mental Health Clinic/Center
- Cleveland, OH
- NPI 1366708638
-
- Adult Mental Health Clinic/Center
- Cleveland, OH
- NPI 1487927802
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Cleveland, OH
- NPI 1669494274
-
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1750911376
Locations
1292 Winslow Ave
Cleveland, OH 44113
Phone (216) 727-2086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1174572168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WASHINGTON AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441132333",
"telephone_number": "216-781-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1292 WINSLOW AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441132334",
"telephone_number": "216-781-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLA MARIS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "ROCHE",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "216-781-0550",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPI",
"identifier": "7045",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.