Eliza Bryant Village

LBN: Eliza Bryant Village
Eliza Bryant Village is an health care organization with primary practice located at 7201 Wade Park Ave , Cleveland OH 44103. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Eliza Bryant Village can be contacted via phone (216) 361-6141, or through Williams, Danny via phone (216) 361-6141.

Contact Information

Primary practice address
7201 Wade Park Ave Cleveland OH 44103
Phone: (216) 361-6141
Fax: (216) 588-1982
Website:
Map and Directions
Authorized official contact:
Name: Williams, Danny JD, LNHA
Phone: (216) 361-6141

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3660 Ohio

Profile Details

NPI number 1366438145
LBN Legal business name Eliza Bryant Village
DBA Doing business as
Authorized official Williams, Danny JD, LNHA
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2005
Last updated Apr 15th, 2019 - about 5 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 1366438145 NPPES
Ohio MEDICAID 0612822

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