Independence House

LBN: Cuyahoga County Bd Of Mrdd
Independence House is an health care organization with primary practice located at 4711 E Sprague Rd , Independence OH 44131-6227. 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
4711 E Sprague Rd Independence OH 44131-6227
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 1813783 Ohio

Profile Details

NPI number 1497969687
LBN Legal business name Cuyahoga County Bd Of Mrdd
DBA Doing business as Independence House
Authorized official Ryan, Terrence
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497969687 NPPES
Ohio MEDICAID 0875736

Popular Providers