Rae-Ann Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5150 Issued in OH

Legal business name

RAE-ANN CENTER, INC.

Practice address

4650 Rocky River Dr
Cleveland, OH 44135-3846

Phone

(216) 267-5445

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John S. Griffiths, LNHA

Title

Vice President

Phone

(440) 835-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rae-Ann Inc. Former legal business name

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1538159256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40175",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441400175",
            "telephone_number": "440-835-3005",
            "fax_number": "440-871-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441353846",
            "telephone_number": "216-267-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE-ANN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "440-835-3005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7392487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rae-Ann Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Logan Erickson Radtke, MD
• Kathryn Radulovacki, MD
• Eman Radwan, MD
• Hesham Radwan
• Rosanne M Radziewicz, PCNS
• Rae-Ann Inc.
• Carrie Rae, LISW-S
• Kimberly Rae, LSW
• Mohammed A Rafey, MD
• Emily Elizabeth Raffay, PA-C

• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, 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 8, 2014; 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.