OrganizationActive
Cuyahoga County Bd of Mrdd
NPI 1497969687 · Intellectual Disabilities Intermediate Care Facility · Independence, OH
Provider details
- NPI number
- 1497969687
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Terrence Ryan, Superintendent(216) 736-2625
- License
- 1813783 (OH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4711 E Sprague Rd
Independence, OH 44131-6227
Phone: (216) 736-2625
Fax: (216) 736-2702
Street-level locationGet directions
Mailing address
1275 Lakeside Ave E
Cleveland, OH 44114-1132
Other names (DBA / former)
- Doing business as
- Independence House
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.