MEDICARE: ROSE-MARY, THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		OH

General Provider Information

NPI Number	:	1619324290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSE-MARY, THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER

Provider Business Mailing Address
First Line	:	5500 S MARGINAL RD STE 110
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1009
Country	:	US
Telephone Number	:	216-481-4823
Fax Number	:

Provider Business Practice Location Address
First Line	:	9349 W RIDGEWOOD DR
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-4126
Country	:	US
Telephone Number	:	216-481-4823
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GINA KERMAN
Credential	:
Telephone Number	:	216-481-4823

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	12/01/2025

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