Myocare Nursing Home Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0912921 Issued in OH

Legal business name

MYOCARE NURSING HOME INC

Practice address

4401 W 150TH St
Cleveland, OH 44135-1311

Phone

(216) 252-7555

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Norman A Fox Jr.

Title

Secretary Treasurer

Phone

(440) 617-2103

Specialties & licenses 1

Addresses

Other names 1

• Covenant - Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Myocarenursing Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Myocare Nursing Home, Inc.

  • Skilled Nursing Facility
  • Cleveland, OH
  • NPI 1497731541
  NPD tax ID
• Myocare Nursing Home, Inc.

  • Skilled Nursing Facility
  • Cleveland, OH
  • NPI 1942484332
  NPD tax ID

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1225299019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24340 SPERRY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451565",
            "telephone_number": "440-617-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W 150TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351311",
            "telephone_number": "216-252-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOCARE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY  TREASURER",
        "authorized_official_telephone_number": "440-617-2103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0912921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanda Myint
• Myle Oh
• Jonathan L. Myles, MD
• Katherine Myles, RN
• Vamshi Krishna Myneni, M.D
• Myocare Nursing Home, Inc.
• Myocare Nursing Home, Inc.
• Latoya Myrie, NP
• Maya Myslenski, MD
• Naveen Mysore, M.D.

• Clinical Medical Laboratory in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.

Verify at the official NPI Registry.