Active NPI
Brooklyn Heights Village
Doing business as Village of Brooklyn Heights
- Land Ambulance
- Brooklyn Heights, OH
National Provider Identifier
1659399509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0987982 | Medicaid | OH |
Other names 1
- Village of Brooklyn Heights
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120222001103 | OH | Part B Supplier - Ambulance Service Supplier | 1153589007 | Practice locations: Cleveland, OH |
National Provider Directory
National Provider DirectoryLocations
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
- Susan Ayers, R.PH.
- Benevolent Cleveland Home Health Operations LLC (Vna of Ohio Home Health)
- Benevolent Cleveland Hospice Operations LLC (Visiting Nurse Association of Cleveland Hospice)
- Rhondi B Bieshada, RN
- Jennifer Kaye Blatnik, LSW
- Andrew Brzozowiec, R.PH.
- Cardiosom, LLC (CardioSom of Cleveland)
- Dominique Dansby
- Stephen D Dargaj
- Paula Freeman-Vida, RN
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.