NPIMap

Organization Active NPI

Northeast Care Center, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • North Royalton, OH
National Provider Identifier
1467090977
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
NORTHEAST CARE CENTER, INC.
Practice address
7575 Royalton Rd
North Royalton, OH 44133-4701
Phone
(440) 582-2775
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Lillian Glaze
Title
Director of Qa/Qi
Phone
(440) 582-3300

Specialties & licenses 1

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

Addresses

Primary practice location

7575 Royalton Rd
North Royalton, OH 44133-4701

Mailing address

12627 York Rd
North Royalton, OH 44133-3616
Phone (440) 582-3300

National Provider Directory

National Provider Directory
Tax ID family
Northeast Care Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1467090977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 YORK RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333616",
            "telephone_number": "440-582-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334701",
            "telephone_number": "440-582-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "GLAZE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "DIRECTOR OF QA/QI",
        "authorized_official_telephone_number": "440-582-3300"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.