Provider Demographics
NPI:1356234967
Name:ELIZA JENNINGS INC
Entity type:Organization
Organization Name:ELIZA JENNINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF LEGAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:GRIVEAS
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ, LNHA
Authorized Official - Phone:216-226-5000
Mailing Address - Street 1:16695 CHILLICOTHE RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-4578
Mailing Address - Country:US
Mailing Address - Phone:440-542-4221
Mailing Address - Fax:
Practice Address - Street 1:16695 CHILLICOTHE RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4578
Practice Address - Country:US
Practice Address - Phone:440-542-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELIZA JENNINGS SENIOR CARE NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility