Organization · Type 2 NPI

ST Augustine Manor

Gerontology Nurse Practitioner · Cleveland, OH

NPI number 1033599105 Active

Practice location

7801 Detroit Ave
Cleveland, OH 44102-2813

Fax (216) 634-7483

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	None listed

Gerontology Nurse Practitioner: Definition to come...

5 other providers at this address

ST Augustine Services CorpSkilled Nursing Facility Cleveland, OH NPI 1154586287
ST Augustine TransportationNon-emergency Medical Transport (VAN) Cleveland, OH NPI 1770207425
St. Augustine Services Corp.Long Term Care Pharmacy Cleveland, OH NPI 1235128034
Nicole M. Reynolds, CNPFamily Nurse Practitioner Cleveland, OH NPI 1700355088
Thapasya Susan Rein, APRNAcute Care Nurse Practitioner Cleveland, OH NPI 1942816400

Other gerontology nurse practitioner providers in Cleveland

Watson Community Health CentreGerontology Nurse Practitioner Cleveland, OH NPI 1346034535

See all in Cleveland →

NPI record

NPI: 1033599105
Entity type: Organization (Type 2)
Issued: Jun 4, 2015
Last updated: Jun 4, 2015
Status: Active
Subpart: Yes of ST Augustine Manor

Other names

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ST Augustine Manor Professional Services · other name

Authorized official

Mr. Francis S Huba
Chief Financial Officer
(216) 634-7555

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033599105

ST Augustine Manor's National Provider Identifier is 1033599105, issued on Jun 4, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cleveland, OH. The record was last updated on Jun 4, 2015.