# CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION

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

## Provider details

- **NPI number:** 1225890171
- **Authorized official:** TIMOTHY L. LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
- **Authorized official phone:** (216) 636-7416

## Contact information

- **Practice address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
- **Practice address phone:** (216) 636-5437
- **Mailing address:** 6801 BRECKSVILLE RD STE 20, INDEPENDENCE, OH 44131-5062
- **Mailing address phone:** (216) 442-5579

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 01/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ------- | — | WV |