Healthcare Provider Details

I. General information

NPI: 1699712075
Provider Name (Legal Business Name): THE METROHEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4229 PEARL RD MH SKILLED NRSG SERV@THE SENIOR HEALTH & WELLNESS CTR
CLEVELAND OH
44109
US

IV. Provider business mailing address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

V. Phone/Fax

Practice location:
  • Phone: 216-957-2442
  • Fax: 216-957-2404
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. DERRICK HOLLINGS
Title or Position: EVP/CFO
Credential:
Phone: 216-778-7800