MENTAL DISABILITY HEALTH & COMMUNITY RESIDENTIAL LLC (NPI# 1013531219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013531219 |
| Entity Type | Organization |
| Organization Name | MENTAL DISABILITY HEALTH & COMMUNITY RESIDENTIAL LLC |
| Practice Address |
3790 Sherwood Rd South Euclid OH 44121-1940 |
| Practice Telephone | 2167730532 |
| Mailing Telephone | 2167730532 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MORGAN COLEMAN (AGENCY ADMINISTRATOR) |
| Authorized Official Telephone | 2167730532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3790 SHERWOOD RD |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
| 1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
| 1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
| 1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990537 | Green Road Behavioral Health, Inc. | Community/Behavioral Health | 1611 S Green Rd Ste 303, South Euclid, OH 44121-4192 | 2020-07-28 |
| 1982251997 | New Life Strategies LLC | Community/Behavioral Health | 4568 Mayfield Rd Ste 203, South Euclid, OH 44121-4050 | 2019-08-23 |
| 1598327751 | Yvette Goldurs, Lisw, LLC | Community/Behavioral Health | 4325 Mayfield Rd, South Euclid, OH 44121-3662 | 2019-07-08 |
| 1265058655 | Errick Walter Cox | Community/Behavioral Health | 2121 S Green Rd, South Euclid, OH 44121-3338 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1942800065 | In Balance Counseling LLC | Community/Behavioral Health | 13 E Main St Ste 4, Hudson, OH 44236-3061 | 2020-10-28 |
| 1831799246 | Serenity Springs Clinical Counseling LLC | Community/Behavioral Health | 5913 Pineville Dr, Grove City, OH 43123-2568 | 2020-10-27 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1720695943 | Eleven 11 Behavioral Solutions | Community/Behavioral Health | 79 Verdin Ct, Gahanna, OH 43230-6714 | 2020-09-30 |
| 1326654641 | Tiffany Hopkins Online Counseling LLC | Community/Behavioral Health | 4342 Carthel Dr, Liberty Twp, OH 45011-2316 | 2020-09-22 |
| 1326654740 | Justin's Love Home Health Agency | Community/Behavioral Health | 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.