NPIMap

Organization Active NPI

Cuyahoga County BD. of MRDD

  • Intellectual Disabilities Intermediate Care Facility
  • Bedford, OH
National Provider Identifier
1902011612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1815085 Issued in OH
Legal business name
CUYAHOGA COUNTY BD. OF MRDD
Practice address
740 Taft Ave
Bedford, OH 44146-3872
Phone
(216) 736-2625
Fax
(216) 736-2702
NPI assigned
May 14, 2007
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
Mr. Terrence Ryan
Title
Superintendent
Phone
(216) 736-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1815085 OH Primary

Addresses

Primary practice location

740 Taft Ave
Bedford, OH 44146-3872

Mailing address

1275 Lakeside Ave E
Cleveland, OH 44114-1132
Phone (216) 736-2625

Other identifiers 1

IdentifierTypeStateIssuer
2054520MedicaidOH

Other names 1

  • Taft House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G544

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TAFT HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 15, 1998
Last certification
Feb 15, 2024
Beds
5
Ownership / control type
Private (proprietary)
Facility address
740 Taft Avenue
Bedford, OH 44146

National Provider Directory

National Provider Directory
Tax ID family
County of Cuyahoga47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902011612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 LAKESIDE AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141132",
            "telephone_number": "216-736-2625",
            "fax_number": "216-736-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 TAFT AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463872",
            "telephone_number": "216-736-2625",
            "fax_number": "216-736-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUYAHOGA COUNTY BD. OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "216-736-2625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1815085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taft House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.