Organization Active NPI

Cleveland VA Medical Center

  • Registered Respiratory Therapist
  • Cleveland, OH
National Provider Identifier
1407618804
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
Legal business name
CLEVELAND VA MEDICAL CENTER
Practice address
10701 East Blvd
Cleveland, OH 44106-1782
Phone
(216) 536-7539
NPI assigned
Jan 30, 2024
Organization subpart
Yes
Parent organization
28-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Mrs. Joan Denise Childress-Greathouse, RRT
Title
Registered Respiratory Therapist
Phone
(216) 217-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 227900000X Primary

Addresses

Primary practice location

10701 East Blvd
Cleveland, OH 44106-1782

Mailing address

2202 Acacia Park Dr Apt 2514
Lyndhurst, OH 44124-3868
Phone (216) 217-0152

National Provider Directory

National Provider Directory
Part of
Cleveland VA Medical Center

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1407618804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ACACIA PARK DR APT 2514",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243868",
            "telephone_number": "216-217-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061782",
            "telephone_number": "216-536-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND VA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "28-",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS-GREATHOUSE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "REGISTERED RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "216-217-0152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.