Organization
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
(216) 721-5400
(216) 721-4590
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
174
OH
Other
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
Enumeration date
05/17/2006
Last updated
08/06/2025
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