MEDICARE: THE HEBREW HOME AT BEACHWOOD 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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1386471100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEBREW HOME AT BEACHWOOD LLC

Provider Business Mailing Address
First Line	:	27070 CEDAR RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-8131
Country	:	US
Telephone Number	:	216-831-2881
Fax Number	:

Provider Business Practice Location Address
First Line	:	27070 CEDAR RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-8131
Country	:	US
Telephone Number	:	216-831-2881
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZACK ROSENBERG
Credential	:
Telephone Number	:	732-335-6951

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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Directions to “THE HEBREW HOME AT BEACHWOOD LLC ” Practice Location

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