MR. GRADY EUGENE CUNNINGHAM JR. (NPI# 1114422524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114422524 |
| Entity Type | Individual |
| Full Name | MR. GRADY EUGENE CUNNINGHAM JR. |
| Practice Address |
680 Northland Blvd Cincinnati OH 45240-3248 |
| Practice Telephone | 5139414999 |
| Practice Fax Number | 5136489859 |
| Mailing Telephone | 5139414999 |
| Mailing Fax Number | 5136489859 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
.165808 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 287 | 05 | |
| OH | 063000 | 05 |
| Street Address |
680 NORTHLAND BLVD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45240-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578997722 | Karen L Jones | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2013-08-23 |
| 1790324309 | Dionna Lavonne Ward | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2019-12-30 |
| 1710443601 | Kimberly M. Hammonds | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2019-02-15 |
| 1396218012 | Serenity Wiley | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2019-01-04 |
| 1740752138 | Andrew John Bernhard | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-12-22 |
| 1508332339 | Lorie Lea Shumate | Registered Nurse | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-10-19 |
| 1114419868 | Amy Lynn Martin | Social Worker | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-05-30 |
| 1073001517 | Pamela Massey | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-04-30 |
| 1194212829 | Ebony J Dailey | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-04-18 |
| 1750888913 | Sandra Jean Graham | Counselor | 680 Northland Blvd, Cincinnati, OH 45240-3248 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
| 1316559263 | Big H Home Health Care | Home Health | Northland Blvd, Cincinnati, OH 45240 | 2020-08-21 |
| 1437667912 | May Austin | Respite Care | 11444 Farmington Rd, Cincinnati, OH 45240 | 2018-01-18 |
| 1952815490 | Joyce Kerobo | Licensed Practical Nurse | 1014 Holderness Ln, Cincinnati, OH 45240 | 2017-11-20 |
| 1912429416 | Guselyn Beatrice Bobb | In Home Supportive Care | 12052 Deerhorn Drive, Cincinnati, OH 45240 | 2017-07-17 |
| 1164962239 | Amber Haynes | Counselor | 1570 Jonquilmeadow Dr, Cincinnati, OH 45240 | 2017-03-08 |
| 1215477039 | Ayele Ahouefa Lawson | Licensed Practical Nurse | 962 Glasgow Drive, Cincinnati, OH 45240 | 2017-02-27 |
| 1710365937 | Affordable Dentures - Forest Park, Mark A. Meclosky, Dds, Inc. | Dentist | 1173 Smiley Avenue, Cincinnati, OH 45240 | 2015-05-07 |
| 1720476658 | Medical Staffing Network | Nursing Care | 1388 Waycross Rd Apt B, Cincinnati, OH 45240 | 2014-12-30 |
| 1316351877 | Mirabel Owie Obi | Licensed Practical Nurse | 591 Ashburn Rd # A, Cincinnati, OH 45240 | 2014-06-12 |
| Find all providers in zip 45240 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050827 | Sonya L Dowdell | Counselor | 3127 Worthington Ave Apt 3, Cincinnati, OH 45211-7331 | 2020-07-10 |
| 1487273694 | Sharon White | Counselor | 123 Burley Cir, Cincinnati, OH 45218-1339 | 2020-04-09 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1982235636 | Narcotic Addiction Recovery Center LLC | Counselor | 2123 Auburn Ave Ste 310, Cincinnati, OH 45219-2906 | 2020-01-31 |
| 1699316398 | Babette Mccray | Counselor | 909 Sycamore St Ste 400, Cincinnati, OH 45202-1306 | 2019-10-03 |
| 1689223158 | Michael Brubaker | Counselor | 2610 Mcmicken Circle University of Cincinnati, Cincinnati, OH 45221-0001 | 2019-09-08 |
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1124598289 | Arthur Wilson Jr. | Counselor | 670 Northland Blvd Unit 46442, Cincinnati, OH 45246-7614 | 2018-12-03 |
| 1679049233 | Tiesha G Powell | Counselor | 1 N Commerce Park Dr # 318, Cincinnati, OH 45215-3187 | 2018-10-22 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45240 |
Please comment or provide details below to improve the information on MR. GRADY EUGENE CUNNINGHAM JR..
| 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.