Bellefaire Jcb
Bellefaire Jcb is a Supports Brokerage Agency in Shaker Heights, Ohio. Licensed in Ohio. Registered with an NPI since 2014.
- Licensed in
- OH
- In the registry since
- 2014
- Specialties on file
- 9
Practice location Address checks out
22001 Fairmount BlvdShaker Heights, OH 44118-4819
Phone: (216) 932-2800
Fax: (216) 932-6704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 12-2049 (OH) |
|---|---|
| Supports Brokerage Agency | Taxonomy 251X00000X · Licence 12-2049 (OH) |
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X · Licence 12-2049 (OH) |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X · Licence 12-2049 (OH) |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence 12-2049 (OH) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 12-2049 (OH) |
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X · Licence 12-2049 (OH) |
| Child Mental Illness Respite Care | Taxonomy 385HR2055X · Licence 12-2049 (OH) |
| Child Physical Disabilities Respite Care | Taxonomy 385HR2065X · Licence 12-2049 (OH) |
Record details
| NPI number | 1093111981 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Wingspan Care Group |
| Authorized official | Thomas Browne — Cfo · (216) 320-8221 |
| Other names | Monarch Boarding Academy - East |
| NPI enumerated | November 5, 2014 |
| Last updated in NPPES | November 5, 2014 |
| Mailing address | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 |
Other providers in Shaker Heights
-
Bellefaire Jcb
22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 · (216) 932-2800
-
Bellefaire Jcb
22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 · (216) 932-2800
-
Debra Nalynn Hall
3663 Rolliston Rd, Shaker Heights, OH 44120-5136 · (216) 553-9740