Active NPI
Myocare Nursing Home, Inc.
- Skilled Nursing Facility
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 6181
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2784705 | Medicaid | OH |
Other names 1
- Westpark Neurology & Rehabilitation Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Campus
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 10, 1990
- Medicare certification status
- Active
- Certified beds
- 99
National Provider Directory
National Provider Directory- Tax ID family
- Myocarenursing Home Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1225299019
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1942484332
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Norman Fox | Corporate Officer | Nov 1, 2000 | |
| Adp of the SNF | Dec 1, 2000 | ||
| BHP Management Corporation | Operational/Managerial Control | Jan 1, 2016 | |
| Adp of the SNF | Jan 1, 2016 | ||
| Elias Coury | 5% Or Greater Direct Ownership Interest | Nov 5, 1986 | 100% |
| Corporate Officer | Nov 1, 2000 | ||
| Corporate Director | Nov 1, 2000 | ||
| Operational/Managerial Control | Dec 1, 2000 | ||
| Adp of the SNF | Dec 1, 2000 | ||
| Jayantilal Bhimani | Adp of the SNF | Jun 1, 2018 | |
| Tranquility Counseling Services LLC | 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.
-
- Nursing Facility/Intermediate Care Facility
- Lakewood, OH
- NPI 1487656773
BHP Management Corporation
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1619943388
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1548542491
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.