Bagley House

LBN: Cuyahoga County Bd. Of Mrdd
Bagley House is an health care organization with primary practice located at 19080 Bagley Rd , Cleveland OH 44130-3310. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Cuyahoga County Bd. Of Mrdd can be contacted via phone (216) 736-2625, or through Ryan, Terrence via phone (216) 736-2625.

Contact Information

Primary practice address
19080 Bagley Rd Cleveland OH 44130-3310
Phone: (216) 736-2625
Fax: (216) 736-2702
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Terrence
Phone: (216) 736-2625

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 1812640 Ohio

Profile Details

NPI number 1104039924
LBN Legal business name Cuyahoga County Bd. Of Mrdd
DBA Doing business as Bagley House
Authorized official Ryan, Terrence
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104039924 NPPES
Ohio MEDICAID 0770947

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