NPIMap

Organization Active NPI

Menorah Park Center for Senior Living

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Beachwood, OH
National Provider Identifier
1295938272
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
MENORAH PARK CENTER FOR SENIOR LIVING
Practice address
27100 Cedar Rd
Beachwood, OH 44122-1109
Phone
(216) 831-6500
Fax
(216) 831-5492
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Juliann Minnie
Title
Director Revenue Cycle
Phone
(216) 831-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OH Primary

Addresses

Primary practice location

27100 Cedar Rd
Beachwood, OH 44122-1109

Mailing address

27100 Cedar Rd
Beachwood, OH 44122-1109
Phone (216) 831-6500

Other identifiers 1

IdentifierTypeStateIssuer
2395377MedicaidOH

National Provider Directory

National Provider Directory

Locations

27300 Cedar Rd
Beachwood, OH 44122
Phone (216) 595-7345

2645 Cleveland Ave NW
Ste 5
Canton, OH 44709
Phone (330) 437-2910

405 Tallmadge Rd
Ste 201
Cuyahoga Falls, OH 44221
Phone (330) 437-2910

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1295938272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500",
            "fax_number": "216-831-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500",
            "fax_number": "216-831-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENORAH PARK CENTER FOR SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MINNIE",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "216-831-6500"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2395377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.