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Contact Information

ST AUGUSTINE MANOR
7801 DETROIT AVENUE
CLEVELAND, OH44102
 Phone: 216-634-7400
 Fax: 216-634-7483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ST AUGUSTINE MANOR

NPI Number 1396883591
LBN Legal business name ST AUGUSTINE MANOR
Authorized official PATRICK GAREAU - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 1971
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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