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STELLA MARIS, INC.
NPI 1750911376
Clinic/Center - Primary Care in Cleveland, OH

Active since January 23, 2020CLIA 36D2022826 · Waiver
1320 WASHINGTON AVE, CLEVELAND, OH 44113(216) 727-2086(216) 771-1563 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stella Maris, Inc. NPPES

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

STELLA MARIS, INC. (NPI 1750911376), doing business as Stella Maris, is a healthcare organization registered as a primary care in Cleveland, Ohio and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Sandy Gacek, Emr Administrator, as its authorized official.

NPPES Registry Identity

NPI1750911376
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSTELLA MARIS, INC.
Location Address1320 WASHINGTON AVECleveland, OH 44113-2333
Mailing Address1302 Winslow AveCleveland, OH 44113-2336 · (216) 727-2086 · Fax (216) 771-1563
Phone(216) 727-2086
Fax(216) 771-1563
Organization SubpartNo
Authorized OfficialSandy GacekEmr Administrator · (216) 727-2086
Enumeration DateJanuary 23, 2020
✔ NPI 1750911376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1320 WASHINGTON AVE, Cleveland, OH 44113
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Other Names 1

Doing Business AsStella Maris

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 36D2022826

Stella Maris Inc · Cleveland, OH
Active · expires Apr 10, 2027
CLIA Number36D2022826
Laboratory TypeSubacute Detox Facility
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorCarole Negus
Laboratory Phone(216) 727-2086
Laboratory LocationStella Maris Inc1320 Washington Avenue, Cleveland, OH 44113
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

REGINA EDMONDSON
Counselor (Addiction (Substance Use Disorder))
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
MARSHAWNETTE MONIQUE DANIELS LPN
Licensed Practical Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
JACULYN ZARBACK LPN
Nurse Practitioner
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (440) 840-4404
KAYLA KOWALL LPN
Licensed Practical Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
RAUL WILLIAMS CDCA
Counselor (Addiction (Substance Use Disorder))
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 727-2086
JAMES GAYDOSH CDCA II
Counselor (Addiction (Substance Use Disorder))
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 727-2055
CAROLE ANNE NEGUS RN
Registered Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
ANTOINETTE MARIE WHITTICAR
Registered Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550

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 Stella Maris, Inc.'s NPI number?

The NPI number for Stella Maris, Inc. is 1750911376. It was assigned to this organization in the NPPES registry on January 23, 2020. The provider is doing business as Stella Maris.

Where is Stella Maris, Inc. located?

Stella Maris, Inc. is located at 1320 Washington Ave, Cleveland, OH 44113. The listed phone number is (216) 727-2086.

What is Stella Maris, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Stella Maris, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2022826) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stella Maris, Inc. accept?

Health plans from Molina Healthcare list Stella Maris, Inc. 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 Stella Maris, Inc. was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.