NPIMap

Organization Active NPI

Menorah Park Center for Senior Living

  • Nursing Facility/Intermediate Care Facility
  • Beachwood, OH
National Provider Identifier
1609831429
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
5870 Issued in OH
Legal business name
MENORAH PARK CENTER FOR SENIOR LIVING
Practice address
27100 Cedar Rd
Beachwood, OH 44122-1109
Phone
(216) 831-6500
Fax
(216) 831-5492
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Juliann Minnie
Title
Director Revenue Cycle
Phone
(216) 910-2550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 5870 OH Primary
Skilled Nursing Facility 314000000X 5870 OH
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

27100 Cedar Rd
Beachwood, OH 44122-1109

Mailing address

27100 Cedar Rd
Beachwood, OH 44122-1109
Phone (216) 831-6500

Other identifiers 1

IdentifierTypeStateIssuer
4366958MedicaidOH

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1609831429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500",
            "fax_number": "216-831-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500",
            "fax_number": "216-831-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENORAH PARK CENTER FOR SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "MINNIE",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "216-910-2550"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "5870",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5870",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4366958",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.