Healthcare Provider Details

I. General information

NPI: 1760486153
Provider Name (Legal Business Name): JENNINGS CENTER FOR OLDER ADULTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10204 GRANGER RD
GARFIELD HEIGHTS OH
44125-3106
US

IV. Provider business mailing address

10204 GRANGER RD
GARFIELD HEIGHTS OH
44125-3106
US

V. Phone/Fax

Practice location:
  • Phone: 216-581-2900
  • Fax: 216-581-4505
Mailing address:
  • Phone: 216-581-2900
  • Fax: 216-581-4505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number000512N
License Number StateOH

VIII. Authorized Official

Name: MS. ALLISON Q. SALOPECK
Title or Position: PRESIDENT AND CEO
Credential: MS, LNHA
Phone: 216-581-2900