Organization Active NPI

Cuyahoga County BD of MRDD

Doing business as Parma House

  • Intellectual Disabilities Intermediate Care Facility
  • Parma, OH
National Provider Identifier
1427263144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1814504 Issued in OH
Legal business name
CUYAHOGA COUNTY BD OF MRDD
Doing business as
Parma House
Practice address
7211 W 130TH St
Parma, OH 44130-7814
Phone
(216) 736-2625
Fax
(216) 736-2702
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Terrence Ryan
Title
Superintendent
Phone
(216) 736-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1814504 OH Primary

Addresses

Primary practice location

7211 W 130TH St
Parma, OH 44130-7814

Mailing address

1275 Lakeside Ave E
Cleveland, OH 44114-1132
Phone (216) 736-2625

Other identifiers 1

IdentifierTypeStateIssuer
0945526MedicaidOH

Other names 1

  • Parma House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427263144. Details of each certification follow.

  • CCN 36G479 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G479

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PARMA HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 17, 1993
Last certification
Dec 14, 2023
Beds
8
Ownership / control type
Private (non-profit)
Facility address
7211 West 130TH Street
Parma, OH 44130

National Provider Directory

National Provider Directory
Tax ID family
County of Cuyahoga47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427263144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 LAKESIDE AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141132",
            "telephone_number": "216-736-2625",
            "fax_number": "216-736-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W 130TH ST",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441307814",
            "telephone_number": "216-736-2625",
            "fax_number": "216-736-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUYAHOGA COUNTY BD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "216-736-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1814504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0945526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parma House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.