<Unavail>

LBN: St. Augustine Manor Corp.
<Unavail> is an health care organization with primary practice located at 7821 Lake Avenue St. Augustine Towers, Cleveland OH 44102. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. St. Augustine Manor Corp. can be contacted via phone (216) 634-7444, or through Gerrasch, Anita B. via phone (216) 634-7437.

Contact Information

Primary practice address
7821 Lake Avenue St. Augustine Towers Cleveland OH 44102
Phone: (216) 634-7444
Fax: (216) 634-2717
Website:
Map and Directions
Authorized official contact:
Name: Gerrasch, Anita B. LNHA
Phone: (216) 634-7437

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1063652139
LBN Legal business name St. Augustine Manor Corp.
DBA Doing business as <Unavail>
Authorized official Gerrasch, Anita B. LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2009
Last updated Mar 2nd, 2009 - about 17 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 1063652139 NPPES
Ohio MEDICAID 2796318

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