# CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033161948
- **Authorized official:** DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
- **Authorized official phone:** (216) 445-1343

## Contact information

- **Practice address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
- **Practice address phone:** (216) 721-5400
- **Practice address fax:** (216) 721-4590
- **Mailing address:** 6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | 174 | OH | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000076301 | ANTHEM BLUE CROSS | OH |
| 01 | — | 0521879 | AETNA | OH |
| 01 | — | 100113 | KAISER | OH |
| 05 | — | 3779620 | — | OH |
| 01 | — | 5000158 | UNITED HEALTHCARE | OH |