LAKE HEALTH BEACHWOOD MEDICAL CENTER (NEW MANNA CLG, LLC) NPI 1841789427

General Acute Care Hospital in Beachwood, OH

NPI 1841789427 Organization General Acute Care Hospital CLIA Number 36D2158547 CLIA Certificate of Accreditation

About LAKE HEALTH BEACHWOOD MEDICAL CENTER (NEW MANNA CLG, LLC)

Lake Health Beachwood Medical Center (new Manna Clg, Llc) is a hospital serving the Beachwood, Ohio region. The facility is a general acute care hospital. The NPI number of this hospital is 1841789427 and was assigned on May 2018. The hospital's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Lake Health Beachwood Medical Center. The authorized official of this NPI record is Robert Tracz (Cfo)

According to the Hospital Compare program data, Lake Health Beachwood Medical Center doesn't have an overall quality rating because there are too few measures or measure groups reported to calculate a star rating or measure group score. The hospital provides emergency services like acute medical care or trauma care.

The CLIA number of Lake Health Beachwood Medical Center is 36D2158547 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Lake Health Beachwood Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI

1841789427

Provider NameLAKE HEALTH BEACHWOOD MEDICAL CENTER (NEW MANNA CLG, LLC)
Provider Location Address25501 CHAGRIN BLVD BEACHWOOD, OH 44122
Provider Mailing Address5105 SOM CENTER RD FL 3 WILLOUGHBY, OH 44094
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLAKE HEALTH BEACHWOOD MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date05-09-2018
Last Update Date09-11-2018


Primary Taxonomy

Taxonomy Code282N00000X
ClassificationGeneral Acute Care Hospital
TypeHospitals
Taxonomy DescriptionAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

LAKE HEALTH BEACHWOOD MEDICAL CENTER
25501 CHAGRIN BLVD
BEACHWOOD, OH
ZIP 44122
Phone: (844) 746-8537

Get Directions


Mailing Address

LAKE HEALTH BEACHWOOD MEDICAL CENTER
5105 SOM CENTER RD FL 3
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-9600
Fax: (440) 350-4503



Authorized Official

Authorized Official Name ROBERT TRACZ
Authorized Official TitleCFO
Authorized Official Phone(440) 354-1051

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.
Hospital TypeAcute Care Hospitals - Proprietary
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - Not Available
Safety of CareNot Available - Not Available
ReadmissionNot Available - Results are not available for this reporting period.
Patient Experience8 - Not Available
Effectiveness of CareNot Available - Not Available
Timeliness of CareNot Available - Results are not available for this reporting period.
Efficient use of Medical Imaging11 - Not Available

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1841789427 is:

CLIA Number36D2158547
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972149268NEW MANNA CLG, LLC
Organization
General Acute Care Hospital25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(216) 545-4800
1700024130 DAVID D CELLA C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(440) 350-0832
1215176318 HEATHER MARIE ORENIC C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(440) 350-0832
1164753943 JACLYN B WARNOCK C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(440) 350-0832
1992346134 MARHEANNE ABBIGAIL RETARDO CRNA
Individual
Nurse Anesthetist, Certified Registered25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(440) 350-0832
1518195189 MICHAEL STEVEN MCDERMOTT A.A.
Individual
Anesthesiologist Assistant25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(440) 350-0832
1720641764 ANGELO D'AGOSTINO
Individual
Occupational Therapist25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(216) 545-4800
1487108890MRS. KIMBERLY LYNN TRUTZA APRN
Individual
Nurse Practitioner (Family)25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(216) 545-4800
1396493052 DAVID DONALD REBMAN FNP
Individual
Nurse Practitioner (Family)25501 CHAGRIN BLVD
BEACHWOOD, OH 44122
(216) 545-2800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.