Active NPI
Madison Group Home
- Adult Care Home Facility
- Cleveland, OH
National Provider Identifier
1619811890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.