Healthcare Provider Details

I. General information

NPI: 1649261025
Provider Name (Legal Business Name): CITY VIEW NURSING & REHAB., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6606 CARNEGIE AVE
CLEVELAND OH
44103
US

IV. Provider business mailing address

4700 ASHWOOD DR SUITE 200
CINCINNATI OH
45241-2465
US

V. Phone/Fax

Practice location:
  • Phone: 216-361-1414
  • Fax: 216-361-2822
Mailing address:
  • Phone: 513-489-7100
  • Fax: 513-530-1359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1814N
License Number StateOH

VIII. Authorized Official

Name: MS. SANDRA K HUBBARD
Title or Position: DIR OF A/R
Credential:
Phone: 513-530-1327