MEDICARE: CUYAHOGA COUNTY BD OF MRDD

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	315P00000X	Intellectual Disabilities Intermediate Care Facility	1814166	OH

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	:	1790990414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUYAHOGA COUNTY BD OF MRDD

Provider Business Mailing Address
First Line	:	1275 LAKESIDE AVE E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1132
Country	:	US
Telephone Number	:	216-736-2625
Fax Number	:	216-736-2702

Provider Business Practice Location Address
First Line	:	19853 GRAND BLVD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-2200
Country	:	US
Telephone Number	:	216-736-2625
Fax Number	:	216-736-2702

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. TERRENCE RYAN
Credential	:
Telephone Number	:	216-736-2625

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1275199556 — ROSE-MARY, THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER
Practice Location Address:

19855 GRAND BLVD
EUCLID, OH
44117-2200

Practice Phone: 216-481-4823
Practice Fax:

1518523893 — ROSE-MARY, THE JOHANNA GRASSELLI REHABILITATION AND EDUCATION CENTER
Practice Location Address:

19853 GRAND BLVD
EUCLID, OH
44117-2200

Practice Phone: 216-481-4823
Practice Fax:

1346454287 — CUYAHOGA COUNTY BD. OF MRD
Practice Location Address:

19855 GRAND BLVD
EUCLID, OH
44117-2200

Practice Phone: 216-736-2625
Practice Fax: 216-736-2702

1225448533 — DR. ALLEN LIN HO M.D.
Practice Location Address:

9500 EUCLID AVE # S40
CLEVELAND, OH
44195-2200

Practice Phone: 216-444-9580
Practice Fax: 216-636-2607

1336555747 — DR. ALBERTA MARTIN BEE PHD, FNP-BC, RN
Practice Location Address:

11100 EUCLID AVE , BOLWELL BUILDING 2200
CLEVELAND, OH
44106-1716

Practice Phone: 216-286-6599
Practice Fax: 216-844-1530

1972969046 — MR. SEAN JOSEPH FINNERTY CRNA
Practice Location Address:

9500 EUCLID AVE
CLEVELAND, OH
44195-2200

Practice Phone: 330-774-6142
Practice Fax:

Directions to “CUYAHOGA COUNTY BD OF MRDD ” 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.