Cleveland Clinic Independence at Home

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

CLEVELAND CLINIC INDEPENDENCE AT HOME

Practice address

6801 Brecksville Rd
Suite 10
Independence, OH 44131-5032

Phone

(216) 444-9819

Fax

(216) 520-1973

NPI assigned

Jul 3, 2012

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael P Harrington

Title

Chief Acct Officer and Controller

Phone

(216) 445-8990

Specialties & licenses 6

Addresses

Other names 1

• Cleveland Clinic Home Care Servic Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Cleveland Clinic Foundation

  dba Cleveland Clinic Orthapedics and Rheumatology at Hillcrest

  • Durable Medical Equipment & Medical Supplies
  • Mayfield HTS, OH
  • NPI 1780991794

  Member Of

  NPD member

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1194089292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931664",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931777",
            "telephone_number": "216-444-9819",
            "fax_number": "216-520-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315032",
            "telephone_number": "216-444-9819",
            "fax_number": "216-520-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC INDEPENDENCE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF ACCT OFFICER AND CONTROLLER",
        "authorized_official_telephone_number": "216-445-8990"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Home Care Servic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cleveland Clinic Concern:Eap
• Cleveland Clinic Foundation (Cleveland Clinic Independence Family He)
• Cleveland Clinic Foundation Cleveland Clinic Home Care
• Cleveland Clinic Home Care Services
• Cleveland Clinic Home Care Services (Hospice of the Cleveland Clinic)
• Cleveland Foot and Ankle Clinic
• Cleveland Medical Management Services, Inc.
• Cleveland Renal Assoc., LTD.
• Cleveland Renal Associates LTD
• Stephanie Young Clough, M.D.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Independence, OH
• Providers in Independence, OH by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.