Active NPI
Franklin Boulevard Nursing Home, Inc.
Doing business as Franklin Plaza
- Skilled Nursing Facility
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2806
- Legal business name
- FRANKLIN BOULEVARD NURSING HOME, INC.
- Doing business as
- Franklin Plaza
- Practice address
- 3600 Franklin Blvd
Cleveland, OH 44113-2831 - Phone
- (216) 898-8399
- Fax
- (216) 898-8455
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 22, 2020
- 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
- Bruce Daskal
- Title
- President/Ceo
- Phone
- (216) 898-8399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2806 | OH | Primary |
Addresses
Primary practice location
3600 Franklin Blvd
Cleveland, OH 44113-2831
Mailing address
12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0374161 | Medicaid | OH |
Other names 1
- Franklin Plaza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090608000072 | OH | Part A Provider - Skilled Nursing Facility | 0042360406 | Practice locations: Cleveland, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235230533. Details of each certification follow.
Skilled nursing facility certification: CCN 365388
- Legal name
- FRANKLIN BOULEVARD NURSING HOME, INC.
- Doing business as
- FRANKLIN PLAZA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 18, 1978
- Last certification
- Aug 2, 2022
- Beds
- 178
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 14, 1978 in OH
- Enrollment address
- 3600 Franklin Blvd
Cleveland, OH 44113-2831 - Nursing home name
- FRANKLIN PLAZA EXTENDED CARE
- Affiliated entity
- LEGACY HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Franklin Plaza Extended Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 18, 1978
- Medicare certification status
- Active
- Certified beds
- 178
- Chain
- Legacy Health Services
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 |
|---|---|---|---|
| 36D0866131 | Franklin Plaza Nursing Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Franklin Boulevard Nursing Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Franklin Plaza - Laboratory
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1538325923
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lionsview Opco NR LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 15.6% |
| Chavos221 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 40% |
| Barry Stump | Corporate Officer | May 14, 1998 | |
| W-2 Managing Employee | May 7, 2019 | ||
| CC Oh10 Opco LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 39.4% |
| Sapphire143 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 19.5% |
| Living26 Irrv TR | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 18% |
| Eliav Sharvit | Corporate Officer | Jun 22, 2007 | |
| Oh 10 Holdco LLC | 5% Or Greater Direct Ownership Interest | Jul 6, 2022 | 100% |
| Sapphire143 Irrv TR | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 18% |
| Living26 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 19.5% |
| Lionsview SC LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 5% |
| Chavos221 Irrv TR | 5% Or Greater Indirect Ownership Interest | Jul 6, 2022 | 38% |
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Wickliffe Country Place
- Skilled Nursing Facility
- Wickliffe, OH
- NPI 1699773283
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Broadview Multi-Care Center
- Skilled Nursing Facility
- Parma, OH
- NPI 1508853383
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Cedarwood Plaza
- Skilled Nursing Facility
- Cleveland HTS, OH
- NPI 1366543654
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Continuum Care Hospice
- Community Based Hospice Care Agency
- Parma, OH
- NPI 1891994653
Chavos221 Holdings LLC, Lionsview Opco NR LLC, Lionsview SC LLC
-
dba Hillside Plaza
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1528169836
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Mapleview Country Villa
- Skilled Nursing Facility
- Chardon, OH
- NPI 1790179497
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Parkside Villa
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1619078938
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Orchard Villa
- Skilled Nursing Facility
- Oregon, OH
- NPI 1114028420
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Pleasant Lake Villa
- Skilled Nursing Facility
- Parma, OH
- NPI 1811098148
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
-
dba Pleasantview Care Center
- Skilled Nursing Facility
- Parma, OH
- NPI 1255432589
CC Oh10 Opco LLC, Chavos221 Holdings LLC, Chavos221 Irrv TR, Lionsview Opco NR LLC, Lionsview SC LLC, Living26 Holdings LLC, Living26 Irrv TR, Oh 10 Holdco LLC, Sapphire143 Holdings LLC, Sapphire143 Irrv TR
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1275509952
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1619943388
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1104892801
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, OH
- NPI 1932581493
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1104815554
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, OH
- NPI 1932581493
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235230533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12380 PLAZA DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441301043",
"telephone_number": "216-898-8399",
"fax_number": "216-898-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FRANKLIN BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441132831",
"telephone_number": "216-898-8399",
"fax_number": "216-898-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANKLIN BOULEVARD NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DASKAL",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "216-898-8399"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0374161",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Franklin Plaza",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.