Organization Active NPI

Madison Group Home

  • Adult Care Home Facility
  • Cleveland, OH
National Provider Identifier
1619811890
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MADISON GROUP HOME
Practice address
11510 Madison Ave
Cleveland, OH 44102-2326
Phone
(216) 851-1853
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Shimon Rubin
Title
Owner
Phone
(330) 429-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

11510 Madison Ave
Cleveland, OH 44102-2326

Mailing address

11510 Madison Ave
Cleveland, OH 44102-2326
Phone (216) 851-1853

National Provider Directory

National Provider Directory

Locations

11510 Madison Ave
Cleveland, OH 44102
Phone (216) 851-1853

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1619811890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 MADISON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022326",
            "telephone_number": "216-851-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 MADISON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022326",
            "telephone_number": "216-851-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-429-5335"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 16, 2026; 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.