DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SERENITY-COVENANT HOUSE INC.

MEDICARE: SERENITY-COVENANT HOUSE 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
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1417623315
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY-COVENANT HOUSE INC.
Provider Business Mailing Address
First Line : 13211 REXWOOD AVE
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44105-7069
Country : US
Telephone Number : 216-633-6265
Fax Number :
Provider Business Practice Location Address
First Line : 1261 E 71ST ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1911
Country : US
Telephone Number : 216-906-8522
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. WYNETTA PARKER
Credential :
Telephone Number : 216-906-8522
Provider Enumeration Date : 08/19/2021
Last Update Date : 08/19/2021

Similar Medicare Providers

1235103250 — STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
Practice Location Address:
1708 SOUTHPOINT DR
CLEVELAND, OH
44109-1911
Practice Phone: 216-787-0500
Practice Fax: 216-787-0633
1093737314 — MAUREEN PARNIN SIZEMORE ATC, PTA, EMT-B
Practice Location Address:
1911 W 30TH ST
CLEVELAND, OH
44113-3495
Practice Phone: 216-651-0222
Practice Fax:
1275639643 — DR. CATALINA M LEE MD
Practice Location Address:
1708 SOUTHPOINT DR
CLEVELAND, OH
44109-1911
Practice Phone: 216-787-0500
Practice Fax: 216-787-0840
1023114964 — MS. SONJA LYNETTE BENFORD I LISW, MSWAC
Practice Location Address:
1708 SOUTHPOINT DR
CLEVELAND, OH
44109-1911
Practice Phone: 216-787-0500
Practice Fax: 216-787-0840
1740371285 — MARY M DONOFRIO M.D.
Practice Location Address:
1708 SOUTHPOINT DR
CLEVELAND, OH
44109-1911
Practice Phone: 216-787-0500
Practice Fax:
1154412500 — MANONITHA JAYAWEERA M.D.
Practice Location Address:
1708 SOUTHPOINT DR
CLEVELAND, OH
44109-1911
Practice Phone: 216-787-0500
Practice Fax:

Directions to “SERENITY-COVENANT HOUSE INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.