NPIMap

Organization Active NPI

Bellefaire JCB

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Shaker HTS, OH
National Provider Identifier
1265983076
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
RN289240 Issued in OH
Legal business name
BELLEFAIRE JCB
Practice address
22001 Fairmount Blvd
Shaker HTS,., OH 44118-8919
Phone
(216) 921-8000
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Ellen Rosenblatt
Title
Medical Director
Phone
(216) 320-8206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X RN289240 OH Primary

Addresses

Primary practice location

22001 Fairmount Blvd
Shaker HTS,., OH 44118-8919

Mailing address

22001 Fairmount Blvd
Shaker HTS.,, OH 44118-4819
Phone (216) 921-8000

National Provider Directory

National Provider Directory
Tax ID family
Bellefaire Jewish Children's Bureau13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1265983076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "SHAKER HTS.,",
            "state": "OH",
            "postal_code": "441184819",
            "telephone_number": "216-921-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "SHAKER HTS,.",
            "state": "OH",
            "postal_code": "441188919",
            "telephone_number": "216-921-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFAIRE JCB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-320-8206"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OH",
            "license": "RN289240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.