NPIMap

Organization Active NPI

Cleveland Clinic Rehabilitation Hospitals, LLC

  • Rehabilitation Hospital
  • Avon, OH
National Provider Identifier
1962879569
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 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
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
John Duggan
Title
Vice Preisdent
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021000755 OH Part A Provider - Hospital 5496064131 Practice locations: Beachwood, OH; Copley, OH; Cleveland, OH; Avon, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962879569. Details of each certification follow.

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
LLCProprietary
Incorporated
Jun 10, 2014 in DE
Enrollment address
33355 Health Campus Blvd
Avon, OH 44011
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Cleveland Clinic Rehabilitation Hospitals LLCCCN 363038 · All quality measures
Ownership
For profit
Certified
Jan 9, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2101097Cleveland Clinic Rehabilitation33355 Health Campus Boulevard, Avon, OH 44011Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Clinic Rehabilitation Hospitals LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Dec 10, 2015 51%
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2015 100%
Operational/Managerial Control Dec 10, 2015 100%
The Cleveland Clinic Foundation Organization, Cleveland, OH Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2015 49%
Thomas Mullin Individual Corporate Officer Jan 5, 2026
Jullie Idoine-Fries Individual Corporate OfficerMain Ceo Sep 18, 2023
W-2 Managing EmployeeMain Ceo Sep 18, 2023
Operational/Managerial ControlMain Ceo Sep 18, 2023
John Saich Individual Corporate Officer Jan 5, 2026
Matthew Nelson Individual Corporate OfficerSatellite Ceo Sep 22, 2025
W-2 Managing EmployeeAd; Sep 22, 2025
Operational/Managerial ControlSatellite Ceo Sep 22, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Jan 5, 2026
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2015 100%
Krista McFadden Individual Corporate OfficerOnsite Ceo Apr 29, 2024
W-2 Managing EmployeeAd; Apr 29, 2024
Operational/Managerial ControlOnsite Ceo Apr 29, 2024
Michael Malatesta Individual Corporate Officer Jan 5, 2026
Robert Kido Individual Corporate Officer Jan 5, 2026
Sherri Becker Individual Corporate OfficerSatellite Ceo Jul 19, 2024
W-2 Managing EmployeeSatellite Ceo Jul 19, 2024
Operational/Managerial ControlSatellite Ceo Jul 19, 2024
John Duggan Individual Corporate Officer Jan 5, 2026
Corporate Director Jan 5, 2026
Tiffany Ujek-Nardo Individual Corporate OfficerCeo Oct 10, 2023
W-2 Managing EmployeeCeo Oct 10, 2023
Operational/Managerial ControlCeo Oct 10, 2023

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

Facilities with the same owner 158

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 158

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1962879569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33355 HEALTH CAMPUS BOULEVARD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-934-0489",
            "fax_number": "440-934-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC REHABILITATION HOSPITALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PREISDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.