Cleveland Clinic Rehabilitation Hospitals, LLC
Organization Active NPI Rehabilitation Hospital · Avon, OH
NPI 1962879569 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1962879569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- Legal business name
- CLEVELAND CLINIC REHABILITATION HOSPITALS, LLC
- Practice address
- 33355 Health Campus Boulevard
Avon, OH 44011 - Phone
- (440) 934-0489
- Fax
- (440) 934-0865
- NPI assigned
- Aug 31, 2015
- Organization subpart
- No
Authorized official
- Name
- John Duggan
- Title
- Vice Preisdent
- Phone
- (717) 972-1100
Owners & managing parties with NPI records 15
Corporate family (same tax ID) 1
Member of 2
Facilities with the same owner 158
Practitioners 10
-
Syed P Ashraf, M.D.
-
Eli Fink, M.D.
-
Saman Ghaffari, D.O.
-
Anthony Hayek, DO
-
Sameh M Rizkalla, MD
-
Yana Shumyatcher, MD
-
Megan Teeples, MD
Affiliated clinicians 14
-
Syed P Ashraf, M.D.
-
Eli Fink, M.D.
-
Saman Ghaffari, D.O.
-
Anthony Hayek, DO
-
Branden J King, DO
-
John J Lee, MD
-
Steven A Richman, MD
-
David Schlafer, APRN
-
Yana Shumyatcher, MD
-
Nina Carmela Rosales Tamayo, DO, MS, MPH
-
Megan Teeples, MD
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Cleveland Clinic Rehabilitation Hospitals LLC
- Ownership
- For profit
- Certified
- Jan 9, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2101097 | Cleveland Clinic Rehabilitation | Certificate of waiver | Aug 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Hospital certification: CCN 363038
- Legal name
- CLEVELAND CLINIC REHABILITATION HOSPITALS, LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Jan 9, 2016
- Last certification
- Jan 9, 2016
- Beds
- 60
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 10, 2014 in DE
- Enrollment address
- 33355 Health Campus Blvd
Avon, OH 44011 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Hospital Holdings Corporation |
5% Or Greater Direct Ownership Interest | Dec 10, 2015 | 51% |
| Select Medical Corporation |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Operational/Managerial Control | Dec 10, 2015 | 100% | |
| The Cleveland Clinic Foundation |
5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 49% |
| Thomas Mullin |
Corporate Officer | Jan 5, 2026 | |
| Jullie Idoine-Fries |
Corporate Officer |
Sep 18, 2023 | |
| W-2 Managing Employee |
Sep 18, 2023 | ||
| Operational/Managerial Control |
Sep 18, 2023 | ||
| John Saich |
Corporate Officer | Jan 5, 2026 | |
| Matthew Nelson |
Corporate Officer |
Sep 22, 2025 | |
| W-2 Managing Employee |
Sep 22, 2025 | ||
| Operational/Managerial Control |
Sep 22, 2025 | ||
| Robert Breighner |
W-2 Managing Employee |
Jan 5, 2026 | |
| Select Specialty Hospitals Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Krista McFadden |
Corporate Officer |
Apr 29, 2024 | |
| W-2 Managing Employee |
Apr 29, 2024 | ||
| Operational/Managerial Control |
Apr 29, 2024 | ||
| Michael Malatesta |
Corporate Officer | Jan 5, 2026 | |
| Robert Kido |
Corporate Officer | Jan 5, 2026 | |
| Sherri Becker |
Corporate Officer |
Jul 19, 2024 | |
| W-2 Managing Employee |
Jul 19, 2024 | ||
| Operational/Managerial Control |
Jul 19, 2024 | ||
| John Duggan |
Corporate Officer | Jan 5, 2026 | |
| Corporate Director | Jan 5, 2026 | ||
| Tiffany Ujek-Nardo |
Corporate Officer |
Oct 10, 2023 | |
| W-2 Managing Employee |
Oct 10, 2023 | ||
| Operational/Managerial Control |
Oct 10, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151021000755 | OH | Part a Provider - Hospital | 5496064131 | Practice locations: Beachwood, OH; Copley, OH; Cleveland, OH; Avon, OH |
National Provider Directory
- Tax ID family
- Cleveland Clinic Rehabilitation Hospitals LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Yes |
Addresses
Primary practice location
33355 Health Campus Boulevard
Avon, OH 44011
Mailing address
4714 Gettysburg Rd
Legal
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.