NPIMap

Organization Active NPI

Concordia Care

  • PACE Provider Organization
  • Cleveland Heights, OH
National Provider Identifier
1700940657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
2022886 Issued in OH
Legal business name
CONCORDIA CARE
Practice address
2373 Euclid Heights Blvd
Cleveland Heights, OH 44106-2705
Phone
(216) 791-3580
Fax
(216) 791-3281
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Janis Faehnrich
Title
President Ceo
Phone
(216) 791-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 2022886 OH Primary

Addresses

Primary practice location

2373 Euclid Heights Blvd
Cleveland Heights, OH 44106-2705

Mailing address

2373 Euclid Heights Blvd
Cleveland Heights, OH 44106-2705
Phone (216) 791-3580

Other identifiers 1

IdentifierTypeStateIssuer
2022886MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Concordia Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700940657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 EUCLID HEIGHTS BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441062705",
            "telephone_number": "216-791-3580",
            "fax_number": "216-791-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 EUCLID HEIGHTS BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441062705",
            "telephone_number": "216-791-3580",
            "fax_number": "216-791-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAEHNRICH",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "216-791-3580",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "OH",
            "license": "2022886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.