NPIMap

Organization Active NPI

NA

  • Skilled Nursing Facility
  • Euclid, OH
National Provider Identifier
1760915508
Registry record updated Apr 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
14951 Issued in OH
Legal business name
NA
Practice address
24931 Treadwell Ave
Euclid, OH 44117-1226
Phone
(216) 903-9039
NPI assigned
Apr 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2017

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

Authorized official

Name
Tewana ScottNPI 1588197321
Title
LPN
Phone
(216) 903-9039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 14951 OH Primary

Addresses

Primary practice location

24931 Treadwell Ave
Euclid, OH 44117-1226

Mailing address

24931 Treadwell Ave
Euclid, OH 44117-1226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491609600000",
    "number": "1760915508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24931 TREADWELL AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24931 TREADWELL AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171226",
            "telephone_number": "216-903-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-08",
        "last_updated": "2017-04-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TEWANA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "216-903-9039"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "14951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; 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.