Healthcare Provider Details

I. General information

NPI: 1952879538
Provider Name (Legal Business Name): PHOENIX MAPLE HEIGHTS OPERATING CO., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19900 CLARE AVE
MAPLE HEIGHTS OH
44137-1806
US

IV. Provider business mailing address

19900 CLARE AVE
MAPLE HEIGHTS OH
44137-1806
US

V. Phone/Fax

Practice location:
  • Phone: 216-662-3343
  • Fax: 216-662-1887
Mailing address:
  • Phone: 216-662-3343
  • Fax: 216-662-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BERNARD MOSES SCHONFELD
Title or Position: VICE PRESIDENT/CEO/TREASURER
Credential: LNHA
Phone: 216-630-1884