Organization Active NPI

Myocare Nursing Home, Inc.

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1497731541
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6181 Issued in OH
Legal business name
MYOCARE NURSING HOME, INC.
Practice address
4401 W 150TH St
Cleveland, OH 44135-1311
Phone
(216) 252-7555
Fax
(216) 251-5886
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Mr. Norman A Fox
Title
Vice President
Phone
(440) 617-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6181 OH Primary

Addresses

Primary practice location

4401 W 150TH St
Cleveland, OH 44135-1311

Mailing address

4401 W 150TH St
Cleveland, OH 44135-1311
Phone (216) 252-7555

Other identifiers 1

IdentifierTypeStateIssuer
2784705MedicaidOH

Other names 1

  • Westpark Neurology & Rehabilitation 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
O20071217000030 OH Part A Provider - Skilled Nursing Facility 4981794807 Practice locations: Cleveland, OH

Skilled nursing facility certification: CCN 365796

Legal name
MYOCARENURSING HOME, INC.
Doing business as
WESTPARK HEALTHCARE CAMPUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 10, 1990
Last certification
Mar 27, 2023
Beds
99
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 5, 1986 in OH
Enrollment address
4401 W 150TH St
Cleveland, OH 44135-1311
Nursing home name
WESTPARK HEALTHCARE CAMPUS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westpark Healthcare CampusCCN 365796
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 10, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9986.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Myocarenursing Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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
Norman Fox Individual Corporate OfficerVice President Nov 1, 2000
Adp of the SNF Dec 1, 2000
BHP Management Corporation Organization, Cleveland, OH Management services company Operational/Managerial Control Jan 1, 2016
Adp of the SNF Jan 1, 2016
Elias Coury Individual 5% Or Greater Direct Ownership InterestPresident & Ceo Nov 5, 1986 100%
Corporate OfficerPresident & Ceo Nov 1, 2000
Corporate DirectorPresident & Ceo Nov 1, 2000
Operational/Managerial Control Dec 1, 2000
Adp of the SNF Dec 1, 2000
Jayantilal Bhimani Individual Adp of the SNF Jun 1, 2018
Tranquility Counseling Services LLC Organization, Lakewood, OH Adp of the SNF Jun 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1497731541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 150TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351311",
            "telephone_number": "216-252-7555",
            "fax_number": "216-251-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W 150TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351311",
            "telephone_number": "216-252-7555",
            "fax_number": "216-251-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOCARE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "440-617-2113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westpark Neurology & Rehabilitation Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.