Kethley House @ Benjamin Rose Place

LBN: Kethley House @ Benjamin Rose Place
Kethley House @ Benjamin Rose Place is an health care organization with primary practice located at 11900 Fairhill Rd , Cleveland OH 44120-1053. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kethley House @ Benjamin Rose Place can be contacted via phone (216) 795-5450, or through Marita, Mary S. via phone (216) 373-1807.

Contact Information

Primary practice address
11900 Fairhill Rd Cleveland OH 44120-1053
Phone: (216) 795-5450
Fax: (216) 795-1178
Website:
Map and Directions
Authorized official contact:
Name: Marita, Mary S. L.N.H.A.
Phone: (216) 373-1807

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0675 Ohio

Profile Details

NPI number 1083600118
LBN Legal business name Kethley House @ Benjamin Rose Place
DBA Doing business as
Authorized official Marita, Mary S. L.N.H.A.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 22nd, 2020 - about 6 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 1083600118 NPPES
Ohio MEDICAID 2005912

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