NPIMap

Organization Active NPI

17322 Euclid Avenue Company LLC

Doing business as Eastbrook Healthcare Center

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1427437698
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0318N Issued in OH
Legal business name
17322 EUCLID AVENUE COMPANY LLC
Doing business as
Eastbrook Healthcare Center
Rudwick Manor Special Care Center
Practice address
17322 Euclid Ave
Cleveland, OH 44112-1210
Phone
(216) 486-2280
Fax
(216) 383-4307
NPI assigned
May 21, 2015
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Hayley B Williams
Title
Attorney
Phone
(216) 706-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0318N OH Primary

Addresses

Primary practice location

17322 Euclid Ave
Cleveland, OH 44112-1210

Mailing address

17322 Euclid Ave
Cleveland, OH 44112-1210
Phone (216) 486-2280

Other names 2

  • Eastbrook Healthcare Center Doing business as
  • Rudwick Manor Special Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723006881 OH Part A Provider - Skilled Nursing Facility 1153634969 Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427437698. Details of each certification follow.

Skilled nursing facility certification: CCN 365129

Legal name
17322 EUCLID AVENUE COMPANY LLC
Doing business as
EASTBROOK HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1974
Last certification
May 8, 2024
Beds
109
Ownership / control type
Corporation
Multi-facility organization
Garden Springs
Organization structure
LLCProprietary
Incorporated
Apr 9, 2015 in OH
Enrollment address
17322 Euclid Ave
Cleveland, OH 44112-1210
Nursing home name
EASTBROOK HEALTHCARE CENTER
Affiliated entity
GARDEN SPRINGS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eastbrook Healthcare CenterCCN 365129 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
109101.3 residents per day on average
Chain
Garden Springs Healthcare5 facilities in the chain
Penalties (3 years)
1Fines totaling $23,989

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

17322 Euclid Ave
East Cleveland, OH 44112
Phone (216) 486-2280

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elm Arbor, LLC Organization, Cleveland, OH LLC 5% Or Greater Direct Ownership Interest Jun 4, 2019 10%
Meb Irrv TR Organization, Brooklyn, NY 5% Or Greater Direct Ownership Interest Jun 4, 2019 11.25%
Matis Mark Friedman Individual Contracted Managing Employee Jun 15, 2015
5% Or Greater Indirect Ownership InterestManing Member Jun 4, 2019 50%
Corporate OfficerSole Officer Jun 4, 2019 100%
Corporate DirectorSole Director Jun 4, 2019 100%
Philipson Family Limited Liability Company, LLC Organization, Spring Valley, NY LLC 5% Or Greater Direct Ownership Interest Jun 4, 2019 15%
Castle Rock Nursing Member, LLC Organization, Cleveland, OH LLC 5% Or Greater Direct Ownership Interest Jun 4, 2019 45%
Operational/Managerial Control Jun 4, 2019 100%

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1427437698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17322 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121210",
            "telephone_number": "216-486-2280",
            "fax_number": "216-383-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17322 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121210",
            "telephone_number": "216-486-2280",
            "fax_number": "216-383-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "17322 EUCLID AVENUE COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0318N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastbrook Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rudwick Manor Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.