Organization Active NPI

Eliza Jennings Home

Doing business as Eliza Jennings

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1609870138
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4162 Issued in OH
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ELIZA JENNINGS SENIOR CARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0278542MedicaidOH

Other names 1

  • Eliza Jennings Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HomeCCN 366079 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 10, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
126113.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
John Stoner Individual Managing Control - Governing Body Jul 1, 2023
Catherine Platt Individual Operational/Managerial Control Jan 19, 1999
Richard Boyson Individual Corporate OfficerPresident and Ceo May 18, 2015
Adp of the SNF May 18, 2015
Michael Gray Individual Corporate OfficerVP of It and Compliance Officer Jul 1, 2019
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Angela Jinna Individual Operational/Managerial Control Jan 28, 2019
Adp of the SNF Jan 28, 2019
Fred Weigle Individual Managing Control - Governing Body Feb 7, 2008
Richard Fletcher Individual Managing Control - Governing Body Jul 1, 1991
Donald Booth Individual Operational/Managerial Control Jul 1, 2013
Jennifer Griveas Individual Corporate OfficerVP and Chief Legal Officer Jul 10, 2017
Richard Fox Individual Managing Control - Governing Body May 3, 2021
Twomagnets LLC Organization, Covina, CA LLC Adp of the SNF Mar 1, 2020
Alayne Fodor Individual Managing Control - Governing Body Jul 8, 2010
Sheryl Sereda Individual Managing Control - Governing Body Jul 1, 2023
Healthpro Parent Holdings LLC Organization, New York, NY LLC Adp of the SNF Nov 1, 2014
Margaret G Weitzel Individual Managing Control - Governing Body Jun 3, 2010
Allen Tracy Individual Managing Control - Governing Body Jul 11, 2018
Terrie Shrock Individual Managing Control - Governing Body Jul 1, 1991
Eliza Jennings Senior Care Network Organization, Olmsted TWP, OH 5% Or Greater Direct Ownership Interest Jun 10, 1996 100%
Operational/Managerial Control Jun 10, 1996
Hilton Young Individual Managing Control - Governing Body Jun 3, 2010
James Rogerson Individual Managing Control - Governing Body Feb 3, 2021
Kathleen Shields Individual Corporate OfficerChief Financial Officer Jul 1, 2007
Adp of the SNF Jul 1, 2007
Glenn Krassen Individual Managing Control - Governing Body Feb 7, 2013
Margaret Hartney Individual Managing Control - Governing Body Jul 1, 2023
Lisa Fluhart Individual Operational/Managerial Control Jan 28, 2019
Adp of the SNF Jul 10, 2025
Celeste Miller Individual Operational/Managerial Control Jan 20, 2021
Adp of the SNF Jan 20, 2021
Nitin Govani Individual Adp of the SNF Feb 1, 2017
Esmi Correya Individual Operational/Managerial Control Feb 28, 2012
Patricia Scanlon Individual 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.

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.