Bellefaire Jcb is a Child Physical Disabilities Respite Care based in Shaker Heights, OH and is specialized in Respite Care, Physical Disabilities, Child. Bellefaire Jcb practices in Shaker Heights, OH. The NPI Number for Bellefaire Jcb is 1497151112 and holds a License No. 12-1946 (Ohio).
The current practice location address for Bellefaire Jcb is 22001 Fairmount Blvd, Shaker Heights, OH and can be reached out via phone at 216-932-2800 and via fax at 216-932-6704.
Location: 22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Provider Profile Details
NPI Number
1497151112
Provider Name
Bellefaire Jcb
Credential
Provider Entity Type
Organization
Address
22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Phone Number
216-932-2800
Fax Number
216-932-6704
Provider Enumeration Date
11/06/2014
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02447 | 01 | OH | UPIN |
| 2419958 | 01 | OH | MRDD - ODJFS |
| 0525337 | 05 | OH | |
| 2864226 | 05 | OH | |
| 2847183 | 05 | OH |
Provider Business Practice Location Address Details
Address
22001 Fairmount Blvd
City
State
Zip
44118-4819
Phone Number
216-932-2800
Fax Number
216-932-6704
Provider Business Mailing Address Details
Address
22001 Fairmount Blvd
City
State
Zip
44118-4819
Phone Number
216-932-2800
Fax Number
216-932-6704
Provider's Taxonomy Details 1
Type
Agencies
Classification
Supports Brokerage
Speciality
-
Taxonomy
License No.
12-1946 (Ohio)
Definition
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
12-1946 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
12-1946 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
12-1946 (Ohio)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
12-1946 (Ohio)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
12-1946 (Ohio)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
12-1946 (Ohio)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Provider's Taxonomy Details 8
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
12-1946 (Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Provider's Taxonomy Details 9
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
License No.
12-1946 (Ohio)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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