Healthcare Provider Details

I. General information

NPI: 1225096035
Provider Name (Legal Business Name): BENJAMIN ROSE INSTITUTE ON AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 FAIRHILL RD
CLEVELAND OH
44120-1053
US

IV. Provider business mailing address

11890 FAIRHILL RD
CLEVELAND OH
44120-1053
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-8000
  • Fax: 216-373-1816
Mailing address:
  • Phone: 216-791-8000
  • Fax: 216-373-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: JANICE BRENNAN
Title or Position: SR. VP & CFO
Credential:
Phone: 216-373-1602