MEDICARE: MCGREGOR AT OVERLOOK

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	251G00000X	Community Based Hospice Care Agency		OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	361671	OTHER	OH	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1871849117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGREGOR AT OVERLOOK

Provider Business Mailing Address
First Line	:	14900 PRIVATE DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-3470
Country	:	US
Telephone Number	:	216-851-8200
Fax Number	:	216-851-6634

Provider Business Practice Location Address
First Line	:	14900 PRIVATE DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-3470
Country	:	US
Telephone Number	:	216-851-8200
Fax Number	:	216-851-6634

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. ANN MARIE CONN
Credential	:
Telephone Number	:	216-851-8200

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	09/30/2024

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Directions to “MCGREGOR AT OVERLOOK ” Practice Location

Language	Start Address	Practice Location

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