Fraternal Health Care LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FRATERNAL HEALTH CARE LLC.

Practice address

1601 W 117TH St
Cleveland, OH 44107-5254

Phone

(216) 251-2559

Fax

(216) 251-2580

NPI assigned

Feb 11, 2007

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mercedes PerezNPI 1316698806

Title

Owner

Phone

(216) 251-2559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447391438. Details of each certification follow.

• CCN 368229 Home health agency · Active · Details

Home health agency certification: CCN 368229

Legal name

FRATERNAL HEALTH CARE LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 29, 2009

Last certification

Dec 9, 2011

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

1601 W 117TH St
Cleveland, OH 44107-5226

Listed as

Fraternal Health Care, LLCCCN 368229 · All quality measures

Ownership

Proprietary

Certified

Jan 29, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 2

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.

• Mercedes Perez, CNP

  • Family Nurse Practitioner
  • Independence, OH
  • NPI 1316698806
  NPD Authorized official
• Gerrell Wells

  • Home Health Aide
  • Cleveland, OH
  • NPI 1811861362
  NPD (past)

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1447391438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441075226",
            "telephone_number": "216-251-2559",
            "fax_number": "216-251-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441075254",
            "telephone_number": "216-251-2559",
            "fax_number": "216-251-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRATERNAL HEALTH CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-251-2559",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Fraser, MD
• Felicia Fraser
• Janet Fraser, AUD
• Thomas G Fraser, MD
• Marta Fratczak
• Richard B Fratianne, MD
• Julie Fratoe, LISW
• Erika Fraundorf, MD
• Elise Camryn Frazee, OD, MS
• April Lynn Frazier, QMHS, CMS

• Home Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.