Broadway Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1867 Issued in OH

Legal business name

BROADWAY CARE CENTER

Practice address

16231 Broadway Ave
Maple Heights, OH 44137-2526

Phone

(440) 239-4300

Fax

(440) 239-4301

NPI assigned

Dec 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871578765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16231 BROADWAY AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372526",
            "telephone_number": "440-239-4300",
            "fax_number": "440-239-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16231 BROADWAY AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372526",
            "telephone_number": "440-239-4300",
            "fax_number": "440-239-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "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": "1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Brashers, PTA
• Kanika Jamila Braxton, LPN CHARGE NURSE
• Cynthia Bridges
• Orlando Bridges Sr., QMHS
• Arthur Broad, D.D.S.
• Achana I Brown
• Aisha Lerona Brown
• Ashley S Brown
• Gwendolyn Brown
• Malika Brown

• Skilled Nursing Facility in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Skilled Nursing Facility in Ohio

• 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.