Palm Crest Bellaire,Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3892 Issued in OH

Legal business name

PALM CREST BELLAIRE,INC.

Practice address

12709 Bellaire Rd
Cleveland, OH 44135-4821

Phone

(216) 941-4545

Fax

(216) 941-6640

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Kevin Rotenberry, CPA

Title

Cfo

Phone

(440) 239-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275537268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 BELLAIRE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354821",
            "telephone_number": "216-941-4545",
            "fax_number": "216-941-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 BELLAIRE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354821",
            "telephone_number": "216-941-4545",
            "fax_number": "216-941-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM CREST BELLAIRE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTENBERRY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-239-4300",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Pallansch, MD
• Kelly Murray Pallas, MSW, LISW-S
• Olivia Pallini
• Andrea M Pallotta, PHARMD
• Clarissa Pallotta
• Luis Augusto Palma Dallan, MD, PHD
• Michela Palma, RD
• Anna-Kay Shanta Palmer, MD
• David H Palmer
• Delia Palmer

• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Skilled Nursing Facility in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.