MEDICARE: SPECIALTY HOSPITAL OF LORAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282E00000X	Long Term Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326118597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALTY HOSPITAL OF LORAIN

Provider Business Mailing Address
First Line	:	254 CLEVELAND AVENUE
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1620
Country	:	US
Telephone Number	:	440-988-6141
Fax Number	:	440-988-6029

Provider Business Practice Location Address
First Line	:	254 CLEVELAND AVE
Second Line	:
City	:	AMHERST
State	:	OH
Zip	:	44001-1620
Country	:	US
Telephone Number	:	440-988-6141
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	RAJIVE KHANNA
Credential	:
Telephone Number	:	216-456-3891

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	10/22/2012

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Directions to “SPECIALTY HOSPITAL OF LORAIN ” Practice Location

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