Healthcare Provider Details

I. General information

NPI: 1598797334
Provider Name (Legal Business Name): SOUTHWEST GENERAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22021 BROOKPARK RD STE 122
FAIRVIEW PARK OH
44126-3100
US

IV. Provider business mailing address

7575 OLD OAK BLVD
CLEVELAND OH
44130-3344
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-6850
  • Fax: 440-816-6859
Mailing address:
  • Phone: 440-816-6811
  • Fax: 440-816-6859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM YOUNG JR.
Title or Position: VP/CFO
Credential:
Phone: 440-816-6701