Organization Active NPI

Franklin Boulevard Nursing Home, Inc.

Doing business as Franklin Plaza

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1235230533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2806 Issued in OH
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0374161MedicaidOH

Other names 1

  • Franklin Plaza Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 365388 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 18, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
178163.4 residents per day on average
Chain
Legacy Health Services10 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0866131Franklin Plaza Nursing Home3600 Franklin Blvd, Cleveland, OH 44113Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Franklin Boulevard Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Lionsview Opco NR LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 15.6%
Chavos221 Holdings LLC Organization, Chicago, IL Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 40%
Barry Stump Individual Corporate OfficerTreasurer May 14, 1998
W-2 Managing EmployeeCfo May 7, 2019
CC Oh10 Opco LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 39.4%
Sapphire143 Holdings LLC Organization, Valley Stream, NY Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 19.5%
Living26 Irrv TR Organization, Lawrence, NY 5% Or Greater Indirect Ownership Interest Jul 6, 2022 18%
Eliav Sharvit Individual Corporate OfficerSecretary Jun 22, 2007
Oh 10 Holdco LLC Organization, Evanston, IL Holding company 5% Or Greater Direct Ownership Interest Jul 6, 2022 100%
Sapphire143 Irrv TR Organization, Valley Stream, NY 5% Or Greater Indirect Ownership Interest Jul 6, 2022 18%
Living26 Holdings LLC Organization, Lawrence, NY Holding company 5% Or Greater Indirect Ownership Interest Jul 6, 2022 19.5%
Lionsview SC LLC Organization, Lawrence, NY LLC 5% Or Greater Indirect Ownership Interest Jul 6, 2022 5%
Chavos221 Irrv TR Organization, Chicago, IL 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.

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.