Provider Demographics
NPI:1043477904
Name:THE METROHEALTH SYSTEM
Entity Type:Organization
Organization Name:THE METROHEALTH SYSTEM
Other - Org Name:METROHEALTH CENTER FOR SKILLED NURSING CARE EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER CRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-775-5716
Mailing Address - Street 1:2500 METROHEALTH DR
Mailing Address - Street 2:ATTN LINDA GREENHILL PFS SUPERVISOR
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1900
Mailing Address - Country:US
Mailing Address - Phone:216-957-2442
Mailing Address - Fax:216-957-2408
Practice Address - Street 1:4310 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44122-6106
Practice Address - Country:US
Practice Address - Phone:216-957-2442
Practice Address - Fax:216-957-2408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE METROHEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-19
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0034537Medicaid