Organization Active NPI

The Hebrew Home at Beachwood LLC

  • Assisted Living Facility
  • Beachwood, OH
National Provider Identifier
1386471100
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE HEBREW HOME AT BEACHWOOD LLC
Practice address
27070 Cedar Rd
Beachwood, OH 44122-8131
Phone
(216) 831-2881
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Zack Rosenberg
Title
Ceo
Phone
(732) 335-6951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

27070 Cedar Rd
Beachwood, OH 44122-8131

Mailing address

27070 Cedar Rd
Beachwood, OH 44122-8131
Phone (216) 831-2881

Other names 1

  • Deer Creek Lodge Former legal business name

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
36D2193211Deer Creek Lodge27070 Cedar Road, Beachwood, OH 44122Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1386471100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27070 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228131",
            "telephone_number": "216-831-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27070 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441228131",
            "telephone_number": "216-831-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEBREW HOME AT BEACHWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ZACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-335-6951"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Creek Lodge",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 16, 2024; 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.