Inner City Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0713 Issued in OH

Legal business name

INNER CITY NURSING HOME INC

Practice address

9014 Cedar Ave
Cleveland, OH 44106-2932

Phone

(216) 795-1363

Fax

(216) 795-1573

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Melvin George Pye

Title

President & Ceo

Phone

(216) 795-1363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairfax Health Care Center Doing business as

Practitioners 1

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

• Donald Eghobamien, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1497740260
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1306835905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062932",
            "telephone_number": "216-795-1363",
            "fax_number": "216-795-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 CEDAR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062932",
            "telephone_number": "216-795-1363",
            "fax_number": "216-795-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "PYE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "216-795-1363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0364369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqulyn C Ingram, LMT
• Tracee Ingram, LSW
• Gisele Injoh
• Michelle D Inkster, M.D.
• Inner City Living Inc
• Inner Light Hospice of Ohio
• Inner Peace Cleveland, LLC
• Erica Innocent
• Innovative Dental
• Peter Gabriel Inoshita

• All providers in Cleveland, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.