The Metrohealth System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE METROHEALTH SYSTEM

Doing business as

Metrohealth Skilled Nursing Services at the Old Brooklyn Campus

Practice address

4229 Pearl Rd
MH Skilled NRSG Serv@the Senior Health & Wellness Ctr
Cleveland, OH 44109

Phone

(216) 957-2442

Fax

(216) 957-2404

NPI assigned

Jun 2, 2006

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

THE METROHEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Mr. Derrick Hollings

Title

Evp/Cfo

Phone

(216) 778-7800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• METROHEALTH SKILLED NURSING SERVICES AT THE OLD BROOKLYN CAMPUS Doing business as

Part of

Metrohealth Inpatient M

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1699712075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD",
            "address_2": "MH SKILLED NRSG SERV@THE SENIOR HEALTH & WELLNESS CTR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44109",
            "telephone_number": "216-957-2442",
            "fax_number": "216-957-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "216-778-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2800231",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0364550001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METROHEALTH SKILLED NURSING SERVICES AT THE OLD BROOKLYN CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METROHEALTH SKILLED NURSING SERVICES AT THE OLD BROOKLYN CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.