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Cuyahoga County BD. of MRDD

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Brook Park, OH

NPI 1609080910 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1609080910
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
1811758 (OH)
Legal business name
CUYAHOGA COUNTY BD. OF MRDD
Practice address
5936 W 130TH St
Brook Park, OH 44142-2607
Phone
(216) 736-2625
Fax
(216) 736-2702
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Terrence Ryan
Title
Superintendent
Phone
(216) 736-2625

Corporate family (same tax ID) 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

National Provider Directory

Tax ID family
County of Cuyahoga (47 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1811758 OH Yes

Addresses

Primary practice location

5936 W 130TH St
Brook Park, OH 44142-2607

Mailing address

1275 Lakeside Ave E
Cleveland, OH 44114-1132
Phone (216) 736-2625

Other identifiers

IdentifierTypeStateIssuer
0776030MedicaidOH

Other names

  • Bellbrook House Doing business as

Other providers in Brook Park, OH

All providers in Brook Park, OH · Intellectual Disabilities Intermediate Care Facility in Ohio

Sources for this page

Verify at the official NPI Registry.