MEDICARE: BROOKLYN HEIGHTS VILLAGE

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	341600000X	Ambulance
2	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659399509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKLYN HEIGHTS VILLAGE

Provider Business Mailing Address
First Line	:	PO BOX 21727
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-0727
Country	:	US
Telephone Number	:	440-605-9117
Fax Number	:	440-442-4443

Provider Business Practice Location Address
First Line	:	345 TUXEDO AVE
Second Line	:
City	:	BROOKLYN HEIGHTS
State	:	OH
Zip	:	44131-1109
Country	:	US
Telephone Number	:	216-351-3542
Fax Number	:	216-749-0892

Authorized Official
Title or Position	:	CLERK TREASURER
Name	:	MR. AARON D. FRANK
Credential	:
Telephone Number	:	216-749-4300

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/23/2020

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Directions to “BROOKLYN HEIGHTS VILLAGE ” Practice Location

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