Healthcare Provider Details

I. General information

NPI: 1982042016
Provider Name (Legal Business Name): RU-CLARE ADULT DAYCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23175 COMMERCE PARK BLDG 2
BEACHWOOD OH
44122-5806
US

IV. Provider business mailing address

23175 COMMERCE PARK
BEACHWOOD OH
44122-5806
US

V. Phone/Fax

Practice location:
  • Phone: 216-378-0400
  • Fax: 216-591-1850
Mailing address:
  • Phone: 216-378-0400
  • Fax: 216-591-1850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. RUTH JEANETTE REED
Title or Position: PRESIDENT
Credential: RN
Phone: 216-378-0400