BELLEFAIRE JCB – NPI #1629337704
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

BELLEFAIRE JCB is a substance abuse rehabilitation facility located in SHAKER HEIGHTS, OH. NPPES has assigned the NPI number 1629337704 to BELLEFAIRE JCB on May 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 3 years ago on Jan 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BELLEFAIRE JCB below.

NPI Profile for
BELLEFAIRE JCB

NPI Number
1629337704
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BELLEFAIRE JCB
Primary location
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
Phone: (216) 932-2800 Fax: (216) 932-6704
Mailing address
Same as primary location
Organization Subpart
Yes - BELLEFAIRE JCB is subpart of another organization.
Authorized Official
LEIGH HALL
GENERAL COUNSEL
Phone: (216) 320-8222
Updated
Certification Date
Jan 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BELLEFAIRE JCB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH02447
medicaidOH10415
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 OH 02447
324500000X
- Substance Abuse Rehabilitation Facility		 OH 02447
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder		 OH 02447

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.