BJ'S Haven /BJ'S Haven II

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

2679AFH Issued in OH

Legal business name

BJ'S HAVEN /BJ'S HAVEN II

Practice address

3934 E 75TH St
7426 Worley Avenue
Cleveland, OH 44105-3800

Phone

(216) 206-1868

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Billie Jean McAllister

Title

Executor,Trustee

Phone

(216) 206-1868

Specialties & licenses 1

Addresses

Other names 1

• BJ'S HAVEN ADULT CARE FACIALITY Doing business as

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1942519723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 WORLEY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441053835",
            "telephone_number": "216-206-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 E 75TH ST",
            "address_2": "7426 WORLEY AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441053800",
            "telephone_number": "216-206-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJ'S HAVEN /BJ'S HAVEN II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTOR,TRUSTEE",
        "authorized_official_telephone_number": "216-206-1868"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OH",
            "license": "2679AFH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJ'S HAVEN ADULT CARE FACIALITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanetta Bivins, LPN
• Alexandra Bixby, PHARMD
• Daniel Bixel, PA-C
• Maya Bizri, MD
• Gina Bizzarro
• Jaclyn Ann Bjelac, MD
• Catherine Michelle Bjerum, MD
• BJH Dental Associates LLC
• BJS Haven Transportation Specialists LLC
• Albert Black

• Assisted Living Facility (Mental Illness) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Assisted Living Facility (Mental Illness) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.