Eliza Jennings Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4116 Issued in OH

Legal business name

ELIZA JENNINGS INC

Practice address

26376 John Rd
Olmsted Falls, OH 44138-1277

Phone

(440) 235-7100

Fax

(440) 235-7115

NPI assigned

Jun 13, 2005

Last updated

Aug 22, 2020By 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. Maureen Moffatte, LNHA

Title

Executive Director

Phone

(440) 235-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Center at Renaissance Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497759849. Details of each certification follow.

• CCN 365759 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365759

Legal name

ELIZA JENNINGS INC

Doing business as

THE RENAISSANCE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 4, 1989

Last certification

Aug 3, 2023

Beds

85

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Eliza Jennings Senior Care Network

Organization structure

CorporationNon-profit

Incorporated

Oct 4, 1989 in OH

Enrollment address

26376 John Rd
Olmsted Falls, OH 44138-1277

Nursing home name

HEALTH CENTER AT THE RENAISSANCE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eliza Jennings Inc

  dba Eliza at Chagrin Falls

  • Skilled Nursing Facility
  • Chagrin Falls, OH
  • NPI 1497999106

  9830156777

  Same PAC ID

Listed as

Health Center at the RenaissanceCCN 365759 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 4, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8572.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Eliza Jennings 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.

• Eliza Jennings Inc

  dba Eliza at Chagrin Falls Assisted Living

  • Assisted Living Facility
  • Chagrin Falls, OH
  • NPI 1356234967
  NPD tax ID
• Eliza Jennings Inc

  dba Eliza at Chagrin Falls

  • Skilled Nursing Facility
  • Chagrin Falls, OH
  • NPI 1497999106
  NPD tax ID

All disclosed owners & managing parties 32

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

Owners & managing parties with NPI records 1

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

• Emad H Elbadawy, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1104892801

  Adp of the SNF

  CMS ownership

Facilities with the same owner 3

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

• Eliza Jennings Home

  dba Eliza Jennings

  • Skilled Nursing Facility
  • Cleveland, OH
  • NPI 1609870138

  Eliza Jennings Senior Care Network

  CMS ownership
• Northeast Ohio Home Care

  dba Eliza at Home

  • Home Health Agency
  • Olmsted TWP, OH
  • NPI 1467655944

  Eliza Jennings Senior Care Network

  CMS ownership
• Northeast Ohio Hospice, Inc.

  • Community Based Hospice Care Agency
  • Garfield Heights, OH
  • NPI 1386178341

  Eliza Jennings Senior Care Network

  CMS ownership

Practitioners 1

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.

• Emad H Elbadawy, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1104892801
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Francis Campbell, M.D.

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1538320833

  Nursing home

  Care Compare affiliation
• Emad H Elbadawy, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1104892801

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497759849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26376 JOHN RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381277",
            "telephone_number": "440-235-7100",
            "fax_number": "440-235-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26376 JOHN RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381277",
            "telephone_number": "440-235-7100",
            "fax_number": "440-235-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZA JENNINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOFFATTE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-235-7100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840068",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center at Renaissance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Kathleen Denslinger, PTA
• Reed Dieckman
• Discount Drug Mart Inc (Discount Drug Mart)
• Dr Brian C Vetter Chiropractor PC (Olmsted Falls Chiropractic Clinic)
• Khyle Wai-Yee Dutkiewicz-Wilson, PHARMD
• Elizabeth Lane Home
• Laurene K English
• Michael James English
• Kristina Fahrner
• Camelia F Filipescu

• Skilled Nursing Facility in Olmsted Falls, OH
• Providers in Olmsted Falls, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.