Active NPI
Eliza Jennings Home
Doing business as Eliza Jennings
- Skilled Nursing Facility
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4162
- Legal business name
- ELIZA JENNINGS HOME
- Doing business as
- Eliza Jennings
- Practice address
- 10603 Detroit Ave
Cleveland, OH 44102-1647 - Phone
- (216) 226-0282
- Fax
- (216) 226-8905
- NPI assigned
- Jun 13, 2005
- Last updated
- Oct 21, 2013
- Organization subpart
- Yes
- Parent organization
- ELIZA JENNINGS SENIOR CARE NETWORK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Basabi Ratnaparkhi, LNHA
- Title
- Executive Director
- Phone
- (216) 226-0282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4162 | OH | Primary |
Addresses
Primary practice location
10603 Detroit Ave
Cleveland, OH 44102-1647
Mailing address
10603 Detroit Ave
Cleveland, OH 44102-1647
Phone (216) 226-0282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0278542 | Medicaid | OH |
Other names 1
- Eliza Jennings
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080630000252 | OH | Part A Provider - Skilled Nursing Facility | 8224100607 | Practice locations: Cleveland, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609870138. Details of each certification follow.
Skilled nursing facility certification: CCN 366079
- Legal name
- ELIZA JENNINGS HOME
- Doing business as
- ELIZA JENNINGS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 10, 1996
- Last certification
- Nov 16, 2023
- Beds
- 126
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Eliza Jennings Network
- Organization structure
- Corporation
- Incorporated
- Jan 20, 1922 in OH
- Enrollment address
- 10603 Detroit Ave
Cleveland, OH 44102-1647 - Nursing home name
- ELIZA JENNINGS HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Eliza Jennings Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 10, 1996
- Medicare certification status
- Active
- Certified beds
- 126
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 28
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John Stoner | Managing Control - Governing Body | Jul 1, 2023 | |
| Catherine Platt | Operational/Managerial Control | Jan 19, 1999 | |
| Richard Boyson | Corporate Officer | May 18, 2015 | |
| Adp of the SNF | May 18, 2015 | ||
| Michael Gray | Corporate Officer | Jul 1, 2019 | |
| Operational/Managerial Control | Jul 1, 2019 | ||
| Adp of the SNF | Jul 1, 2019 | ||
| Angela Jinna | Operational/Managerial Control | Jan 28, 2019 | |
| Adp of the SNF | Jan 28, 2019 | ||
| Fred Weigle | Managing Control - Governing Body | Feb 7, 2008 | |
| Richard Fletcher | Managing Control - Governing Body | Jul 1, 1991 | |
| Donald Booth | Operational/Managerial Control | Jul 1, 2013 | |
| Jennifer Griveas | Corporate Officer | Jul 10, 2017 | |
| Richard Fox | Managing Control - Governing Body | May 3, 2021 | |
| Twomagnets LLC | Adp of the SNF | Mar 1, 2020 | |
| Alayne Fodor | Managing Control - Governing Body | Jul 8, 2010 | |
| Sheryl Sereda | Managing Control - Governing Body | Jul 1, 2023 | |
| Healthpro Parent Holdings LLC | Adp of the SNF | Nov 1, 2014 | |
| Margaret G Weitzel | Managing Control - Governing Body | Jun 3, 2010 | |
| Allen Tracy | Managing Control - Governing Body | Jul 11, 2018 | |
| Terrie Shrock | Managing Control - Governing Body | Jul 1, 1991 | |
| Eliza Jennings Senior Care Network | 5% Or Greater Direct Ownership Interest | Jun 10, 1996 | 100% |
| Operational/Managerial Control | Jun 10, 1996 | ||
| Hilton Young | Managing Control - Governing Body | Jun 3, 2010 | |
| James Rogerson | Managing Control - Governing Body | Feb 3, 2021 | |
| Kathleen Shields | Corporate Officer | Jul 1, 2007 | |
| Adp of the SNF | Jul 1, 2007 | ||
| Glenn Krassen | Managing Control - Governing Body | Feb 7, 2013 | |
| Margaret Hartney | Managing Control - Governing Body | Jul 1, 2023 | |
| Lisa Fluhart | Operational/Managerial Control | Jan 28, 2019 | |
| Adp of the SNF | Jul 10, 2025 | ||
| Celeste Miller | Operational/Managerial Control | Jan 20, 2021 | |
| Adp of the SNF | Jan 20, 2021 | ||
| Nitin Govani | Adp of the SNF | Feb 1, 2017 | |
| Esmi Correya | Operational/Managerial Control | Feb 28, 2012 | |
| Patricia Scanlon | Managing Control - Governing Body | Nov 4, 2004 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Olmsted Falls, OH
- NPI 1497759849
Eliza Jennings Senior Care Network
-
dba Eliza at Home
- Home Health Agency
- Olmsted TWP, OH
- NPI 1467655944
Eliza Jennings Senior Care Network
-
- Community Based Hospice Care Agency
- Garfield Heights, OH
- NPI 1386178341
Eliza Jennings Senior Care Network
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Occupational Therapist
- Three Rivers, MI
- NPI 1386120962
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, OH
- NPI 1598776072
-
- Internal Medicine Physician
- Lakewood, OH
- NPI 1619079050
-
- Internal Medicine Physician
- Akron, OH
- NPI 1740713593
-
- Internal Medicine Physician
- Lakewood, OH
- NPI 1265425110
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, OH
- NPI 1598776072
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382313600000",
"number": "1609870138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10603 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021647",
"telephone_number": "216-226-0282",
"fax_number": "216-226-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10603 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021647",
"telephone_number": "216-226-0282",
"fax_number": "216-226-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZA JENNINGS HOME",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELIZA JENNINGS SENIOR CARE NETWORK",
"enumeration_date": "2005-06-13",
"last_updated": "2013-10-21",
"status": "A",
"authorized_official_last_name": "RATNAPARKHI",
"authorized_official_first_name": "BASABI",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "216-226-0282",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "4162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0278542",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eliza Jennings",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.