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GRACE HOSPITAL
NPI 1124117205
Special Hospital in Cleveland, OH

Active since October 12, 2006CLIA 36D0932925 · Waiver
2307 W 14TH ST, CLEVELAND, OH 44113(216) 687-4014(216) 687-4027 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Hospital NPPES

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

GRACE HOSPITAL (NPI 1124117205) is a healthcare organization registered as a special hospital in Cleveland, Ohio and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Mary K. Chentnik, Vice President, Quality Management, as its authorized official.

NPPES Registry Identity

NPI1124117205
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameGRACE HOSPITAL
Location Address2307 W 14TH STCleveland, OH 44113-3612
Mailing Address2307 W 14th StCleveland, OH 44113-3612 · (216) 687-4014 · Fax (216) 687-4027
Phone(216) 687-4014
Fax(216) 687-4027
Organization SubpartNo
Authorized OfficialMary K. ChentnikVice President, Quality Management · (216) 687-4014
Enumeration DateOctober 12, 2006
Last NPPES UpdateJune 11, 2009
✔ NPI 1124117205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
2307 W 14TH ST, Cleveland, OH 44113
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Other Identifiers 2

Medicaid3337400OH
Medicare ID-Type Unspecified362015OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

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 36D0932925

Grace Hospital-Waived · Cleveland, OH
Active · expires Sep 1, 2027
CLIA Number36D0932925
Laboratory TypeHospital
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorBasel Altaqi
Laboratory Phone(216) 456-3893
Laboratory LocationGrace Hospital-Waived2307 West 14th Street, Cleveland, OH 44113
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MS. JANE A BONDI MSHS PA-C
Physician Assistant
2307 W 14TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 687-4003
D RAHEJA MD INC
Psychiatry & Neurology (Neurology)
2307 W 14TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 687-4044
DEEPAK RAHEJA MD
Psychiatry & Neurology (Neurology)
2307 W 14TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 687-4044
CLEVELAND BACK & PAIN MANAGEMENT CENTER INC.
Anesthesiology (Pain Medicine)
2307 W 14TH ST
CLEVELAND, OH 44113
Cuyahoga County (216) 687-4003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Hospital's NPI number?

The NPI number for Grace Hospital is 1124117205. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Grace Hospital located?

Grace Hospital is located at 2307 W 14th St, Cleveland, OH 44113. The listed phone number is (216) 687-4014.

What is Grace Hospital's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does Grace Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0932925) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Hospital accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Grace Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Hospital was last updated on June 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.