MEDICARE: CENTERBURG POINTE HEALTHCARE GROUP, INC.

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
1	314000000X	Skilled Nursing Facility	1036N

General Provider Information

NPI Number	:	1033410295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERBURG POINTE HEALTHCARE GROUP, INC.

Provider Business Mailing Address
First Line	:	23700 COMMERCE PARK
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5827
Country	:	US
Telephone Number	:	216-292-5706
Fax Number	:

Provider Business Practice Location Address
First Line	:	4531 COLUMBUS RD
Second Line	:
City	:	CENTERBURG
State	:	OH
Zip	:	43011-9401
Country	:	US
Telephone Number	:	740-625-5401
Fax Number	:	740-625-5367

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM I. WEISBERG
Credential	:
Telephone Number	:	216-292-5706

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	01/10/2022

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