Organization Active NPI

Good Samaritan Nursing of Cleveland

  • Home Health Agency
  • Beachwood, OH
National Provider Identifier
1639830920
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD SAMARITAN NURSING OF CLEVELAND
Practice address
28899 Harvard Rd
Beachwood, OH 44122-4741
Phone
(216) 834-9411
NPI assigned
Jan 7, 2022
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Ms. Mazayron Clay
Title
Ceo
Phone
(216) 834-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28899 Harvard Rd
Beachwood, OH 44122-4741

Mailing address

28899 Harvard Rd
Beachwood, OH 44122-4741
Phone (216) 834-9411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1639830920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28899 HARVARD RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224741",
            "telephone_number": "216-834-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28899 HARVARD RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224741",
            "telephone_number": "216-834-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN NURSING OF CLEVELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MAZAYRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-834-9411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.