NPIMap

Marymount Hospital Inc

Organization Active NPI Psychiatric Hospital Unit · Garfield Heights, OH

NPI 1679511463 · NPPES record last updated Aug 25, 2025

Key facts

NPI
1679511463
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
License
1136 (OH)
Legal business name
MARYMOUNT HOSPITAL INC
Practice address
12300 McCracken Road
Garfield Heights, OH 44125-2914
Phone
(216) 581-0500
NPI assigned
Jun 3, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 17

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same 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.

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

Facilities with the same owner 31

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

View all 31

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Hospital certification: CCN 36S143

Legal name
MARYMOUNT HOSPITAL INC
Organization structure
Corporation · Non-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

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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Marymount South Hospita (7 organizations share this tax ID)

Locations

6801 Brecksville Rd
Ste 20ATTN
Independence, OH 44131

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
5000046OtherUNITED HEALTHCARE
6460670OtherAETNA
2915171MedicaidOH
100107OtherKAISER

Other names

  • Marymount Hospital Doing business as

Other providers in Garfield Heights, OH

All providers in Garfield Heights, OH · Psychiatric Hospital Unit in Ohio

Sources for this page

Verify at the official NPI Registry.