Bellefaire Jcb

LBN: Bellefaire Jcb
Bellefaire Jcb is an health care organization with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118-4819. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty. Bellefaire Jcb can be contacted via phone (216) 932-2800, or through Hall, Leigh C via phone (216) 320-8222.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Heights OH 44118-4819
Phone: (216) 932-2800
Fax: (216) 932-6704
Website:
Map and Directions
Authorized official contact:
Name: Hall, Leigh C
Phone: (216) 320-8222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 02447 Ohio
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 02447 Ohio
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 02447 Ohio

Profile Details

NPI number 1629337704
LBN Legal business name Bellefaire Jcb
DBA Doing business as
Authorized official Hall, Leigh C
Entity Organization
Organization subpart 1 Yes
Enumeration date May 10th, 2012
Last updated Jan 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629337704 NPPES
Ohio MEDICAID 10415
Ohio MEDICAID 02447

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