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NPI Code Detail

MEDICARE: SHAKER HEIGHTS, LTC, LLC

MEDICARE: SHAKER HEIGHTS, LTC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility2047NOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033250451
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAKER HEIGHTS, LTC, LLC
Provider Business Mailing Address
First Line : 3550 NORTHFIELD RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5253
Country : US
Telephone Number : 216-752-5600
Fax Number : 216-752-8133
Provider Business Practice Location Address
First Line : 3550 NORTHFIELD RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5253
Country : US
Telephone Number : 216-752-5600
Fax Number : 216-752-8133
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. PAUL ANDREWS
Credential :
Telephone Number : 216-752-5600
Provider Enumeration Date : 02/09/2007
Last Update Date : 08/22/2020

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Directions to “SHAKER HEIGHTS, LTC, LLC ” Practice Location

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