Organization Active NPI

Belmore Leasing Co., LLC

Doing business as Candlewood Park Healthcare Center

  • Skilled Nursing Facility
  • East Cleveland, OH
National Provider Identifier
1689659542
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1426N Issued in OH
Legal business name
BELMORE LEASING CO., LLC
Doing business as
Candlewood Park Healthcare Center
Practice address
1835 Belmore Rd
East Cleveland, OH 44112-4301
Phone
(216) 268-3600
Fax
(216) 761-1322
NPI assigned
Dec 13, 2005
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Ms. Sandra K Hubbard
Title
Dir of a/R
Phone
(513) 530-1327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1426N OH Primary

Addresses

Primary practice location

1835 Belmore Rd
East Cleveland, OH 44112-4301

Mailing address

4700 Ashwood Dr
Suite 200
Cincinnati, OH 45241-2465
Phone (513) 489-7100

Other identifiers 1

IdentifierTypeStateIssuer
2607076MedicaidOH

Other names 1

  • Candlewood Park Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

1835 Belmore Rd
East Cleveland, OH 44112
Phone (216) 268-3600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1689659542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "513-489-7100",
            "fax_number": "513-530-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BELMORE RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441124301",
            "telephone_number": "216-268-3600",
            "fax_number": "216-761-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMORE LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR OF A/R",
        "authorized_official_telephone_number": "513-530-1327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1426N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2607076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candlewood Park Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.