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NPI Code Detail

MEDICARE: BUCKEYE FOREST AT CLEVELAND

MEDICARE: BUCKEYE FOREST AT CLEVELAND
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11589NOTHEROHLICENSURE

General Provider Information

NPI Number : 1821753724
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKEYE FOREST AT CLEVELAND
Provider Business Mailing Address
First Line : 50 CHESTNUT RIDGE RD STE 107
Second Line :
City : MONTVALE
State : NJ
Zip : 07645-1823
Country : US
Telephone Number : 908-327-6982
Fax Number :
Provider Business Practice Location Address
First Line : 16101 EUCLID BEACH BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-1175
Country : US
Telephone Number : 216-486-2300
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : LARRY KATZ
Credential :
Telephone Number : 908-327-6982
Provider Enumeration Date : 11/04/2021
Last Update Date : 12/11/2025

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Directions to “BUCKEYE FOREST AT CLEVELAND ” Practice Location

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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.