Harborside of Cleveland Limited

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5148 Issued in OH

Legal business name

HARBORSIDE OF CLEVELAND LIMITED

Doing business as

Park East Center

Practice address

3800 Park East Dr
Beachwood, OH 44122-4316

Phone

(216) 831-4303

Fax

(216) 831-1032

NPI assigned

Aug 21, 2006

Last updated

Sep 24, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

HARBORSIDE HEALTH I LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Assistant Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park East Center Doing business as

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1326154527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PARK EAST DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224316",
            "telephone_number": "216-831-4303",
            "fax_number": "216-831-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE OF CLEVELAND LIMITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBORSIDE HEALTH I LLC",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2281338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park East Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Hamed
• Terri Hamm, PHD, LPCC-S
• Haney Home Health Care
• Anne Hansen, LCSW-C
• Taylor Layne Hanzs, APRN-CNP
• Mallory Harden, LPCC
• Jacqueline Hardges
• Joanna Halley Hardis, LISW
• David A Hardwick, DPT
• Jane Harkey, LISW

• Skilled Nursing Facility in Beachwood, OH
• Providers in Beachwood, 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 Sep 24, 2015; 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.