Organization Active NPI

Broadview Nursing Home, Inc.

Doing business as Broadview Multi-Care Center - Laboratory

  • Clinical Medical Laboratory
  • Parma, OH
National Provider Identifier
1275799660
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0677697 Issued in OH
Legal business name
BROADVIEW NURSING HOME, INC.
Doing business as
Broadview Multi-Care Center - Laboratory
Practice address
5520 Broadview Rd
Parma, OH 44134-1605
Phone
(216) 749-4010
NPI assigned
Aug 5, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Mr. Bruce Daskal
Title
Owner
Phone
(216) 898-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0677697 OH Primary

Addresses

Primary practice location

5520 Broadview Rd
Parma, OH 44134-1605

Mailing address

5520 Broadview Rd
Parma, OH 44134-1605
Phone (216) 749-4010

Other names 1

  • Broadview Multi-Care Center - Laboratory Doing business as

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
36D0677697Broadview Multi-Care Center5520 Broadview Road, Parma, OH 44134Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Broadview Multi Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1275799660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341605",
            "telephone_number": "216-749-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341605",
            "telephone_number": "216-749-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADVIEW NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "DASKAL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-898-8399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0677697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadview Multi-Care Center - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.