Organization
ELDERCARE SERVICES INSTITUTE,LLC
Active
Parent organization
BENJAMIN ROSE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENJAMIN ROSE INSTITUTE
Authorized official
MS. JANICE BRENNAN CPA (CFO, VICE PRESIDENT OF FINANCE)
(216) 373-1605
Entity
Organization
Contact information
Practice address
11890 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 373-1605
(216) 373-1812
Mailing address
11890 FAIRHILL RD, CLEVELAND, OH 44120-1053
(216) 373-1605
(216) 373-1812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12834
CCCMHB UPIN
OH
01
—
2871165
MEDICAID X-OVERS (ODJFS)
OH
01
—
EL9375361
MEDICARE B PTAN
OH
Enumeration date
03/20/2007
Last updated
03/12/2024
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