NPIMap

Organization Active NPI

Cuyahoga County Board of Developmental Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Middleburg Heights, OH
National Provider Identifier
1497459572
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Practice address
19656 Fowles Rd
Middleburg Heights, OH 44130-6259
Phone
(216) 386-2263
NPI assigned
Mar 30, 2023
Organization subpart
Yes
Parent organization
COUNTY OF CUYAHOGAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Ms. Marciea Stewart
Title
CCBH Medical Credentialing MGR.
Phone
(216) 201-2001

Specialties & licenses 1

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

Addresses

Primary practice location

19656 Fowles Rd
Middleburg Heights, OH 44130-6259

Mailing address

1275 Lakeside Ave E
Cleveland, OH 44114-1129
Phone (216) 386-2263

Other names 1

  • Cuyahoga County Board of Health Doing business as

National Provider Directory

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

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1497459572",
    "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": "441141129",
            "telephone_number": "216-386-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19656 FOWLES RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306259",
            "telephone_number": "216-386-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF CUYAHOGA",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARCIEA",
        "authorized_official_title_or_position": "CCBH MEDICAL CREDENTIALING MGR.",
        "authorized_official_telephone_number": "216-201-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cuyahoga County Board of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.