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NPI Code Detail

MEDICARE: BROADWAY CARE CENTER

MEDICARE: BROADWAY CARE 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
1314000000XSkilled Nursing Facility1867OH

Other Identifiers

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

General Provider Information

NPI Number : 1871578765
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROADWAY CARE CENTER
Provider Business Mailing Address
First Line : 16231 BROADWAY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2526
Country : US
Telephone Number : 440-239-4300
Fax Number : 440-239-4301
Provider Business Practice Location Address
First Line : 16231 BROADWAY AVE
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2526
Country : US
Telephone Number : 440-239-4300
Fax Number : 440-239-4301
Authorized Official
Title or Position : AR MANAGER
Name : ADAM J WHITE
Credential : MBA
Telephone Number : 614-416-2638
Provider Enumeration Date : 12/13/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1043217409 — MAPLE HEALTH SERVICES, INC.
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax: 216-662-7754
1447441522 — ORION MAPLE HEIGHTS LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
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Practice Fax:
1780847848 — ORION MAPLE HEIGHTS LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
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Practice Fax:
1861646804 — ORION MAPLE HEIGHTS LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax:
1386880284 — EMBASSY BROADWAY MANAGEMENT
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax: 216-662-7754
1336454800 — EMBASSY BROADWAY MANAGEMENT, LLC
Practice Location Address:
16231 BROADWAY AVE
MAPLE HEIGHTS, OH
44137-2526
Practice Phone: 216-662-0551
Practice Fax:

Directions to “BROADWAY CARE CENTER ” Practice Location

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