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Contact Information

EASTSIDE MULTI-CARE INC
19900 CLARE AVE
MAPLE HEIGHTS, OH44137-1806
 Phone: 216-662-3343
 Fax: 216-662-1887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for EASTSIDE MULTI-CARE INC

NPI # 1063402451
LBN Legal business name EASTSIDE MULTI-CARE INC
Authorized official ANGELA HAMMONS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2005
Last updated 02/16/2011 - About 15 years ago
Identifiers
OH License # 5477
OH Medicaid 2066062
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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