NPIMap

Organization Active NPI

Marymount Hospital Inc

Doing business as Marymount Hospital

  • Psychiatric Hospital Unit
  • Garfield Heights, OH
National Provider Identifier
1679511463
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
1136 Issued in OH
Legal business name
MARYMOUNT HOSPITAL INC
Doing business as
Marymount Hospital
Practice address
12300 McCracken Road
Garfield Heights, OH 44125-2914
Phone
(216) 581-0500
NPI assigned
Jun 3, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 1136 OH Primary

Addresses

Primary practice location

12300 McCracken Road
Garfield Heights, OH 44125-2914

Mailing address

6801 Brecksville Rd
Ste 20,Attn: DPC RK2-7
Independence, OH 44131-5062

Other names 1

  • Marymount Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000667 OH Part A Provider - Hospital 6507763661 Practice locations: Garfield Heights, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679511463. Details of each certification follow.

Hospital certification: CCN 36S143

Legal name
MARYMOUNT HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Jun 7, 1961 in OH
Enrollment address
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Marymont House PR7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6801 Brecksville Rd
Ste 20ATTN
Independence, OH 44131

Ownership & related parties

All disclosed owners & managing parties 47

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Weinberg Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Marianne Crosley Individual Corporate DirectorDirector - Board of Directors Jul 1, 2024
Deborah Crawford Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Catherine M. Kilbane Individual Corporate DirectorDirector - Board of Directors May 6, 2019
Dan Schulman Individual Corporate DirectorDirector - Board of Directors Feb 28, 2022
Beth Mooney Individual Corporate OfficerChair, Board of Directors May 6, 2019
Corporate DirectorDirector - Board of Directors Oct 1, 2018
Melinda Rich Individual Corporate DirectorDirector - Board of Directors Dec 31, 2021
The Cleveland Clinic Foundation Organization, Cleveland, OH Non-profit 5% Or Greater Direct Ownership Interest Nov 21, 2007 100%
Operational/Managerial Control Nov 21, 2007
Betty Kemper Individual Corporate DirectorDirector - Board of Directors Jun 4, 2020
Mark Ross Individual Corporate DirectorDirector - Board of Directors Oct 3, 2022
Doreen Meredith Individual W-2 Managing EmployeeDepartment Analyst II Aug 24, 2015
Dennis L Laraway Individual Corporate OfficerOfficer - Chief Financial Office Mar 13, 2023
Carole Hoover Individual Corporate DirectorBoard of Directors Oct 1, 2018
Stewart Kohl Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Bonnie Gwin Individual Corporate DirectorDirector - Board of Directors Feb 27, 2023
Hiroyuki Fujita Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Timothy L. Longville Individual Corporate OfficerChief Accounting Officer/Controller May 6, 2019
W-2 Managing Employee Mar 31, 1992
Larry Pollock Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Richard J. Kramer Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Tomislav Mihaljevic Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Michael Petras Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Mark P Malloy Individual Corporate OfficerOfficer - VP Finance, Oh Market Mar 10, 2020
Stephanie Santin Individual W-2 Managing EmployeeDepartment Analyst II Mar 1, 2024
Jessica McArdle Individual W-2 Managing EmployeeDepartment Analyst I Dec 1, 2023
John Waldron Individual Corporate DirectorDirector - Board of Directors Feb 1, 2021
Jorge Alberto Guzman Individual Corporate OfficerOfficer - President Jul 1, 2024
Corporate DirectorDirector - Board of Directors Jul 1, 2024
Albert Salvatore Individual Corporate DirectorDirector - Board of Directors Mar 2, 2021
Thomas Paumier Individual Corporate DirectorDirector - Board of Directors Feb 1, 2024
John H Banks Individual Corporate OfficerTreasurer Dec 1, 2004
Lorraine Vega Individual Corporate DirectorDirector - Board of Directors Jan 1, 2016
Pamela Miller Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Alex Gorsky Individual Corporate DirectorDirector - Board of Directors Jun 17, 2024
Loree W Connors Individual Corporate DirectorDirector - Board of Directors May 14, 2021
Heidi Sathre Individual W-2 Managing EmployeeDepartment Supervisor III Jun 27, 2018
Michael E. Maroone Individual Corporate DirectorDirector - Board of Directors Feb 4, 2019
Mario Morino Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Beri M Ridgeway Individual Corporate DirectorDirector - Board of Directors Jan 1, 2021
Douglas O Kohler Individual W-2 Managing EmployeeChief Medical Officer Mar 1, 2014
Mark Lerner Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Rachel Byrnes Individual W-2 Managing EmployeeDepartment Analyst II Jun 1, 2022
Frederick Nance Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018
Robert Ebert Individual Corporate DirectorBoard of Directors Oct 1, 2018
Dragana Rodic Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Omar Ishrak Individual Corporate DirectorDirector - Board of Directors Aug 3, 2020
Patricia a Warther Individual Corporate DirectorDirector - Board of Directors Jan 1, 2020
Robert Oblander Individual Corporate OfficerOfficer - Secretary Mar 5, 2019
Umberto Fedeli Individual Corporate DirectorDirector - Board of Directors Oct 1, 2018

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1679511463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20,ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN ROAD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-581-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYMOUNT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marymount Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marymount Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.