Healthcare Provider Details

I. General information

NPI: 1023367638
Provider Name (Legal Business Name): GREGORY SCOTT BOROWSKI LPN, EMT, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

6304 E PLEASANT VALLEY RD
INDEPENDENCE OH
44131-6336
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-2300
  • Fax:
Mailing address:
  • Phone: 216-536-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number158474
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN.140647-MEDS
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number227553
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN.449482
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: