NPIMap

Organization Active NPI

Olmsted Health & Services Corp.

Doing business as Eliza Jennings Senior Care

  • Internal Medicine Physician
  • Olmsted Falls, OH
National Provider Identifier
1851370647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OLMSTED HEALTH & SERVICES CORP.
Doing business as
Eliza Jennings Senior Care
Practice address
26376 John Rd
Olmsted Falls, OH 44138-1277
Phone
(440) 235-7100
NPI assigned
Jan 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Matthew Wayne, MDNPI 1508845207
Title
Medical Director
Phone
(440) 235-7100

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

26376 John Rd
Olmsted Falls, OH 44138-1277

Mailing address

PO Box 246
North Olmsted, OH 44070-0246
Phone (440) 777-6017

Other identifiers 1

IdentifierTypeStateIssuer
0840068MedicaidOH

Other names 1

  • ELIZA JENNINGS SENIOR CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851370647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440700246",
            "telephone_number": "440-777-6017",
            "fax_number": "440-777-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26376 JOHN RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381277",
            "telephone_number": "440-235-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMSTED HEALTH & SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "440-235-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840068",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIZA JENNINGS SENIOR CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olmsted Falls, 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.