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NPI Code Detail

MEDICARE: EMBASSY BROADWAY MANAGEMENT

MEDICARE: EMBASSY BROADWAY MANAGEMENT
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 Facility1867NOH

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 : 1386880284
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBASSY BROADWAY MANAGEMENT
Provider Business Mailing Address
First Line : 24579 BROADWAY AVE
Second Line :
City : OAKWOOD VILLAGE
State : OH
Zip : 44146-6338
Country : US
Telephone Number : 440-439-7976
Fax Number : 440-232-7113
Provider Business Practice Location Address
First Line : 16231 BROADWAY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2526
Country : US
Telephone Number : 216-662-0551
Fax Number : 216-662-7754
Authorized Official
Title or Position : ATTORNEY
Name : HAYLEY B WILLIAMS
Credential :
Telephone Number : 216-479-6419
Provider Enumeration Date : 12/23/2008
Last Update Date : 04/01/2015

Similar Medicare Providers

1043217409 — MAPLE HEALTH SERVICES, INC.
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax: 216-662-7754
1871578765 — BROADWAY CARE CENTER
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 440-239-4300
Practice Fax: 440-239-4301
1447441522 — ORION MAPLE HEIGHTS LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax:
1780847848 — ORION MAPLE HEIGHTS LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax:
1861646804 — ORION MAPLE HEIGHTS LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax:
1336454800 — EMBASSY BROADWAY MANAGEMENT, LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax:

Directions to “EMBASSY BROADWAY MANAGEMENT ” Practice Location

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