Organization Active NPI

Rose Centers for Aging Well LLC

  • Home Delivered Meals
  • Cleveland, OH
National Provider Identifier
1982002796
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
ROSE CENTERS FOR AGING WELL LLC
Practice address
11890 Fairhill Rd
Cleveland, OH 44120-1053
Phone
(216) 791-8000
Fax
(216) 373-1816
NPI assigned
Dec 10, 2014
Organization subpart
Yes
Parent organization
BENJAMIN ROSE INSTITUTE ON AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dabney Conwell
Title
Executive Director
Phone
(216) 373-1954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

11890 Fairhill Rd
Cleveland, OH 44120-1053

Mailing address

11890 Fairhill Rd
Cleveland, OH 44120-1053
Phone (216) 791-8000

Other identifiers 1

IdentifierTypeStateIssuer
0112031MedicaidOH

Other names 1

  • Golden Age Centers of Greater Cleveland Former legal business name

National Provider Directory

National Provider Directory
Part of
Benjamin Rose Institute

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1982002796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 FAIRHILL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201053",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 FAIRHILL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201053",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CENTERS FOR AGING WELL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENJAMIN ROSE INSTITUTE ON AGING",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-06-15",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "CONWELL",
        "authorized_official_first_name": "DABNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-373-1954"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age Centers of Greater Cleveland",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Golden Age Centers of Greater Cleveland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.