Organization Active NPI

Montefiore Home

  • Home Health Agency
  • Beachwood, OH
National Provider Identifier
1225183395
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
987114 Issued in OH
Legal business name
MONTEFIORE HOME
Practice address
One David N Myers Parkway
Beachwood, OH 44122
Phone
(216) 910-2641
Fax
(216) 910-2299
NPI assigned
Jan 25, 2007
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Ms. Lauren B Rock
Title
President and Ceo
Phone
(216) 360-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 987114 OH Primary

Addresses

Primary practice location

One David N Myers Parkway
Beachwood, OH 44122

Mailing address

One David N Myers Parkway
Beachwood, OH 44122
Phone (216) 910-2641

Other identifiers 1

IdentifierTypeStateIssuer
2042631MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1225183395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE DAVID N MYERS PARKWAY",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-910-2641",
            "fax_number": "216-910-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE DAVID N MYERS PARKWAY",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-910-2641",
            "fax_number": "216-910-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "216-360-9080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "987114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.