MEDICARE: ST. BONAVENTURE ACADEMY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	106E00000X	Assistant Behavior Analyst
3	146N00000X	Basic Emergency Medical Technician
4	163W00000X	Registered Nurse
5	2083P0901X	Public Health & General Preventive Medicine Physician
6	363LF0000X	Family Nurse Practitioner
7	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1851102834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. BONAVENTURE ACADEMY

Provider Business Mailing Address
First Line	:	1 S MAIN ST
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-3225
Country	:	US
Telephone Number	:	216-536-2633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 S MAIN ST
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-3225
Country	:	US
Telephone Number	:	216-536-2633
Fax Number	:

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	CARRIE GRACE
Credential	:
Telephone Number	:	216-536-2633

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1912909581 — MS. MARY ELIZABETH BOLTON DPM
Practice Location Address:

1 S MAIN ST , SUITE 1
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1407889918 — DR. GEORGE W HEATHCOTE DC
Practice Location Address:

1 S MAIN ST STE 1
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1013229392 — DR. ROBIN TONI SLOTNICK D.C.
Practice Location Address:

1 S MAIN ST
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1598062457 — GEORGE W. HEATHCOTE DC INC.
Practice Location Address:

1 S MAIN ST , SUITE 1
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 440-893-8800
Practice Fax: 440-893-9422

1922973502 — VITALPATH INITIATIVE
Practice Location Address:

1 S MAIN ST STE 7
CHAGRIN FALLS, OH
44022-3225

Practice Phone: 216-202-5658
Practice Fax:

Directions to “ST. BONAVENTURE ACADEMY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.