NPIMap

Organization Active NPI

Jennings Center for Older Adults

  • Adult Mental Health Clinic/Center
  • Garfield Heights, OH
National Provider Identifier
1770188070
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JENNINGS CENTER FOR OLDER ADULTS
Practice address
10204 Granger Heights
Garfield Heights, OH 44125
Phone
(216) 581-2900
Fax
(216) 581-4505
NPI assigned
Dec 3, 2020
Organization subpart
Yes
Parent organization
JENNINGS CENTER FOR OLDER ADULTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Matthew Bollin
Title
Chief Financial Officer
Phone
(216) 581-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

10204 Granger Heights
Garfield Heights, OH 44125

Mailing address

10204 Granger Road
Garfield Heights, OH 44125
Phone (216) 581-2900

Other names 1

  • Eva L. Bruening Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jennings Center for Older Adults3 organizations share this tax ID, including this one
Part of
Jennings Center for Older Adults

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": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1770188070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 GRANGER ROAD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-581-2900",
            "fax_number": "216-581-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 GRANGER HEIGHTS",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-581-2900",
            "fax_number": "216-581-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS CENTER FOR OLDER ADULTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNINGS CENTER FOR OLDER ADULTS",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "216-581-2900"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eva L. Bruening Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.