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CUYAHOGA COUNTY BD. OF MRD NPI 1235343179


NPI Information

NPI: 1235343179
Provider Name: CUYAHOGA COUNTY BD. OF MRD

Doing Business As: WALLINGS HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2491 E WALLINGS RD
BROADVIEW HTS, OH
ZIP 44147
Phone: (216) 736-2625
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CUYAHOGA COUNTY BD. OF MRD is an intermediate care facility mentally retarded in Broadview Hts, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CUYAHOGA COUNTY BD. OF MRD NPI is 1235343179. The provider is registered as an organization entity type.
The provider Is Doing Business As Wallings House.

The provider's business location address is:

2491 E WALLINGS RD
BROADVIEW HTS, OH
ZIP 44147-371
Phone: (216) 736-2625
Fax: (216) 736-2702

The provider's authorized official is Terrence Ryan .
The authorized official title is Superintendent and has the following contact phone number (216) 736-2625.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities1814200OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10907184MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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