Active NPI
Judson Manor
- Assisted Living Facility
- Cleveland, OH
National Provider Identifier
1598560245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www25.pointclickcare.com | Health Information Exchange (HIE) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2284746 | Judson Manor | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Judson Manor
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Cleveland, OH
- NPI 1073318721
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1275533721
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.