Provider Demographics
NPI:1356420509
Name:IRELAND HEALTH CARE CENTER INC
Entity type:Organization
Organization Name:IRELAND HEALTH CARE CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:IRELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:216-231-8467
Mailing Address - Street 1:1867 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-4263
Mailing Address - Country:US
Mailing Address - Phone:216-231-8467
Mailing Address - Fax:216-231-1761
Practice Address - Street 1:1867 E 82ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4263
Practice Address - Country:US
Practice Address - Phone:216-231-8467
Practice Address - Fax:216-231-1761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2282471Medicaid
OH3663 55Medicare PIN