Organization Active NPI

Brian Family,LTD

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1770587768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5539 Issued in OH
Legal business name
BRIAN FAMILY,LTD
Practice address
6973 Pearl Rd
Cleveland, OH 44130-7831
Phone
(440) 884-9191
Fax
(440) 884-5811
NPI assigned
Jun 8, 2005
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
Adam J White, MBA
Title
Ar Manager
Phone
(614) 416-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5539 OH Primary

Addresses

Primary practice location

6973 Pearl Rd
Cleveland, OH 44130-7831

Mailing address

6973 Pearl Rd
Cleveland, OH 44130-7831
Phone (440) 884-9191

Other identifiers 1

IdentifierTypeStateIssuer
2070182MedicaidOH

Other names 1

  • Royal Oak Nursing & Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770587768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441307831",
            "telephone_number": "440-884-9191",
            "fax_number": "440-884-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441307831",
            "telephone_number": "440-884-9191",
            "fax_number": "440-884-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN FAMILY,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "614-416-2638",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, 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.