NPIMap

Organization Active NPI

Rose-Mary, the Johanna Grasselli Rehabilitation and Education Center

  • Intellectual Disabilities Intermediate Care Facility
  • South Euclid, OH
National Provider Identifier
1215388129
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
4383 Ammon Road
South Euclid, OH 44121
Phone
(216) 481-4823
NPI assigned
Jun 22, 2016
Reactivated
Jun 20, 2024
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 OH Primary

Addresses

Primary practice location

4383 Ammon Road
South Euclid, OH 44121

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G712

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 AMMON HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 21, 2016
Last certification
Jul 11, 2024
Beds
6
Ownership / control type
Private (non-profit)
Facility address
4383 Ammon Road
South Euclid, OH 44121

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": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1215388129",
    "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": "4383 AMMON ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-481-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE-MARY, THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "deactivation_date": "2024-06-10",
        "reactivation_date": "2024-06-20",
        "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": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.