Organization Active NPI

Judson Manor

  • Assisted Living Facility
  • Cleveland, OH
National Provider Identifier
1598560245
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JUDSON MANOR
Practice address
1890 E 107TH St
Cleveland, OH 44106-2235
Phone
(216) 791-2555
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Cindy Struk
Title
Chief Health Officer
Phone
(440) 591-7063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1890 E 107TH St
Cleveland, OH 44106-2235

Mailing address

1890 E 107TH St
Cleveland, OH 44106-2235
Phone (216) 791-2555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www25.pointclickcare.com Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2284746Judson Manor1890 East 107TH St, Cleveland, OH 44106Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Judson Manor3 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.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1598560245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 E 107TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062235",
            "telephone_number": "216-791-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 E 107TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062235",
            "telephone_number": "216-791-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "STRUK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CHIEF HEALTH OFFICER",
        "authorized_official_telephone_number": "440-591-7063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www25.pointclickcare.com",
            "affiliation": "N",
            "endpointDescription": "Point Click Care connect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of care document",
            "address_1": "1890 E 107th St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441062235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.