NPIMap

Organization Active NPI

Bellefaire JCB

  • Children's Substance Abuse Rehabilitation Facility
  • Shaker Heights, OH
National Provider Identifier
1629337704
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
02447 Issued in OH
Legal business name
BELLEFAIRE JCB
Practice address
22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone
(216) 932-2800
Fax
(216) 932-6704
NPI assigned
May 10, 2012
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WINGSPAN CARE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Leigh C Hall
Title
General Counsel
Phone
(216) 320-8222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 02447 OH
Substance Abuse Rehabilitation Facility 324500000X 02447 OH
Children's Substance Abuse Rehabilitation Facility 3245S0500X 02447 OH Primary

Addresses

Primary practice location

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819

Mailing address

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone (216) 932-2800

National Provider Directory

National Provider Directory
Tax ID family
Bellefaire Jewish Children's Bureau13 organizations share this tax ID, including this one
Part of
Wingspan Care Group

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1629337704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184819",
            "telephone_number": "216-932-2800",
            "fax_number": "216-932-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184819",
            "telephone_number": "216-932-2800",
            "fax_number": "216-932-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFAIRE JCB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINGSPAN CARE GROUP",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "216-320-8222"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "02447",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "02447",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "OH",
            "license": "02447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.