NPIMap

Organization Active NPI

Grand Manner, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Strongsville, OH
National Provider Identifier
1669018628
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GRAND MANNER, INC
Practice address
11607 Pearl Rd
Strongsville, OH 44136-3319
Phone
(440) 428-9082
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Rebecca Gall
Title
Chief Operating Officer
Phone
(440) 644-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

11607 Pearl Rd
Strongsville, OH 44136-3319

Mailing address

PO Box 40
Madison, OH 44057-0040

Other names 1

  • Albion House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Manner Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

11607 Pearl Rd
Strongsville, OH 44136
Phone (440) 428-9082

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1669018628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440570040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11607 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363319",
            "telephone_number": "440-428-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MANNER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "440-644-0142"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albion House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.