Active NPI
Rose Centers for Aging Well LLC
- Home Delivered Meals
- Cleveland, OH
National Provider Identifier
1982002796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- 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 AGING
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112031 | Medicaid | OH |
Other names 1
- Golden Age Centers of Greater Cleveland
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.
-
- Home Delivered Meals
- Cleveland, OH
- NPI 1225096035
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
- Wanda I Rosario
- Catherine Roscoe-Herbert, DNP, APRN-BC, GNP/CN
- Hope Roscoe
- Terrence Roscoe Sr.
- William Robert Roscoe, O.D., PH.D.
- Rose Express Transportation LLC
- Robert G Rose Jr
- Rose of Sharon Home Healthcare Company
- Madison Jo Rose-Malkamaki, DO
- Rose-Mary the Johanna Grasselli Rehabilitation and Education Center
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.