Provider Demographics
NPI:1003884594
Name:THE MCGREGOR FOUNDATION
Entity Type:Organization
Organization Name:THE MCGREGOR FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:T
Authorized Official - Last Name:CONN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-851-8200
Mailing Address - Street 1:14900 PRIVATE DR
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3413
Mailing Address - Country:US
Mailing Address - Phone:216-851-8200
Mailing Address - Fax:216-851-6634
Practice Address - Street 1:14900 PRIVATE DR
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3413
Practice Address - Country:US
Practice Address - Phone:216-851-8200
Practice Address - Fax:216-851-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0592N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH366350OtherMEDICARE
OH0928223Medicaid