NPIMap

Organization Active NPI

Menorah Park Ambulance and Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Beachwood, OH
National Provider Identifier
1982020335
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
188815 Issued in OH
Legal business name
MENORAH PARK AMBULANCE AND MEDICAL TRANSPORTATION, LLC
Practice address
27100 Cedar Rd
Beachwood, OH 44122-1109
Phone
(216) 831-6500
Fax
(216) 831-5492
NPI assigned
Mar 10, 2014
Organization subpart
Yes
Parent organization
MENORAH PARK CENTER FOR SENIOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Steven Raichilson
Title
Ceo
Phone
(216) 831-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04167 OH
Non-emergency Medical Transport (VAN) 343900000X 188815 OH Primary

Addresses

Primary practice location

27100 Cedar Rd
Beachwood, OH 44122-1109

Mailing address

27100 Cedar Rd
Beachwood, OH 44122-1109
Phone (216) 831-6500

National Provider Directory

National Provider Directory
Tax ID family
Menorah PK Jewish Hospi5 organizations share this tax ID, including this one
Part of
Menorah PK Jewish Hospi

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1982020335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500",
            "fax_number": "216-831-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27100 CEDAR RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221109",
            "telephone_number": "216-831-6500",
            "fax_number": "216-831-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENORAH PARK AMBULANCE AND MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENORAH PARK CENTER FOR SENIOR LIVING",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "RAICHILSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-831-6500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "04167",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "188815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.