Organization Active NPI

Brooklyn Heights Village

Doing business as Village of Brooklyn Heights

  • Land Ambulance
  • Brooklyn Heights, OH
National Provider Identifier
1659399509
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BROOKLYN HEIGHTS VILLAGE
Doing business as
Village of Brooklyn Heights
Practice address
345 Tuxedo Ave
Brooklyn Heights, OH 44131-1109
Phone
(216) 351-3542
Fax
(216) 749-0892
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Mr. Aaron D. Frank
Title
Clerk Treasurer
Phone
(216) 749-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

345 Tuxedo Ave
Brooklyn Heights, OH 44131-1109

Mailing address

PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117

Other identifiers 1

IdentifierTypeStateIssuer
0987982MedicaidOH

Other names 1

  • Village of Brooklyn Heights Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222001103 OH Part B Supplier - Ambulance Service Supplier 1153589007 Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Locations

345 Tuxedo Ave
Independence, OH 44131
Phone (216) 351-3542

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1659399509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 TUXEDO AVE",
            "city": "BROOKLYN HEIGHTS",
            "state": "OH",
            "postal_code": "441311109",
            "telephone_number": "216-351-3542",
            "fax_number": "216-749-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN HEIGHTS VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLERK TREASURER",
        "authorized_official_telephone_number": "216-749-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Brooklyn Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village of Brooklyn Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.