Organization Active NPI

Rudwick Healthcare, Inc.

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1780795823
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0318N Issued in OH
Legal business name
RUDWICK HEALTHCARE, INC.
Doing business as
Rudwick Manor Special Care Center
Practice address
17322 Euclid Ave
Cleveland, OH 44112-1210
Phone
(216) 486-2280
Fax
(216) 383-4307
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
William I Weisberg
Title
Its VP
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0318N OH Primary

Addresses

Primary practice location

17322 Euclid Ave
Cleveland, OH 44112-1210

Mailing address

26691 Richmond Rd
Bedford Heights, OH 44146-1421
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
2316925MedicaidOH

Other names 1

  • Rudwick Manor Special Care Center 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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1780795823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 RICHMOND RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461421",
            "telephone_number": "216-292-5706",
            "fax_number": "216-292-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17322 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121210",
            "telephone_number": "216-486-2280",
            "fax_number": "216-383-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDWICK HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ITS VP",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0318N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rudwick Manor Special Care Center",
            "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 Mar 31, 2014; 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.