1497151112 BELLEFAIRE JCB

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
BELLEFAIRE JCB
Enumeration Date
November 6, 2014
Last Update
November 6, 2014
Authorized Official
MR. THOMAS J BROWNE
CFO
Phone: (216) 320-8221

Practice Location

Address
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 441184819
Phone
(216) 932-2800
Fax
(216) 932-6704

Mailing Address

Address
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 441184819
Phone
(216) 932-2800
Fax
(216) 932-6704

Specialties & Taxonomies

Specialty Code Classification License State Primary
Supports Brokerage Agency
251X00000X Supports Brokerage 12-1946 OH No
Developmental Disabilities Clinic/Center
Developmental Disabilities
261QD1600X Clinic/Center 12-1946 OH No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center 12-1946 OH No
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness 12-1946 OH No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 12-1946 OH No
Psychiatric Residential Treatment Facility
323P00000X Psychiatric Residential Treatment Facility 12-1946 OH No
Child Mental Illness Respite Care
Respite Care, Mental Illness, Child
385HR2055X Respite Care 12-1946 OH No
Child Physical Disabilities Respite Care
Respite Care, Physical Disabilities, Child
385HR2065X Respite Care 12-1946 OH No
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities 12-1946 OH Primary

Other Identifiers

Identifier Type State Issuer
02447 01 OH UPIN
2419958 01 OH MRDD - ODJFS
0525337 05 OH N/A
2864226 05 OH N/A
2847183 05 OH N/A

Frequently Asked Questions

What is BELLEFAIRE JCB's NPI number?
BELLEFAIRE JCB's NPI number is 1497151112.
Which doctor has NPI number 1497151112?
The doctor with NPI number 1497151112 is BELLEFAIRE JCB.
What is BELLEFAIRE JCB's practice address?
BELLEFAIRE JCB's practice address is 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH, 441184819.
Which doctor practices at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH, 441184819?
BELLEFAIRE JCB practices at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH, 441184819.
What is BELLEFAIRE JCB's phone number?
BELLEFAIRE JCB's phone number is (216) 932-2800.
Who is (216) 932-2800?
(216) 932-2800 is the phone number for BELLEFAIRE JCB.
What is BELLEFAIRE JCB's specialty?
BELLEFAIRE JCB's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is BELLEFAIRE JCB?
BELLEFAIRE JCB is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is BELLEFAIRE JCB a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, BELLEFAIRE JCB is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is BELLEFAIRE JCB still practicing?
Yes, BELLEFAIRE JCB is currently practicing.
Is BELLEFAIRE JCB accepting new patients?
BELLEFAIRE JCB may be accepting new patients. Please call their office at (216) 932-2800 to inquire about availability.
Is NPI 1497151112 still active?
Yes, NPI 1497151112 is currently active.
Where does BELLEFAIRE JCB practice?
BELLEFAIRE JCB practices in SHAKER HEIGHTS, OH.