SHAKER GARDENS NURSING AND REHABILITATION - NPI 1033250451 - Nursing Facility/Intermediate Care Facility in Shaker Heights, OH

Q: What is Shaker Heights, Ltc, LLC's NPI number?

The NPI number for Shaker Heights, Ltc, LLC is 1033250451. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Shaker Gardens Nursing And Rehabilitation.

Q: What is Shaker Heights, Ltc, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Shaker Gardens Nursing And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKER GARDENS NURSING AND REHABILITATION (NPI 1033250451) is a healthcare organization registered as a nursing facility/intermediate care facility in Shaker Heights, Ohio and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Paul Andrews, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033250451

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSHAKER HEIGHTS, LTC, LLC

Location Address3550 NORTHFIELD RDShaker Heights, OH 44122-5253

Mailing Address3550 Northfield RdShaker Heights, OH 44122-5253 · (216) 752-5600 · Fax (216) 752-8133

Phone(216) 752-5600

Fax(216) 752-8133

Organization SubpartNo

Authorized OfficialPaul AndrewsAdministrator · (216) 752-5600

Enumeration DateFebruary 9, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033250451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OH · 2047N

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

3550 NORTHFIELD RD, Shaker Heights, OH 44122

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Other Names 1

Doing Business AsShaker Gardens Nursing And Rehabilitation

Other Identifiers 1

Medicaid2625976OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0903581

Shaker Gardens Nursing & Rehab Center · Shaker Heights, OH

Active · expires Jul 24, 2027

CLIA Number36D0903581

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJuly 25, 2025

Certificate Expiration DateJuly 24, 2027

Laboratory DirectorJeffrey Degyansky

Laboratory Phone(216) 752-5600

Laboratory LocationShaker Gardens Nursing & Rehab Center3550 Northfield Rd, Shaker Heights, OH 44122

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MFF SOMERSET, L.L.C

Skilled Nursing Facility