MR. GRADY EUGENE CUNNINGHAM JR.


Address: 680 Northland Blvd, Cincinnati, OH 45240-3248
Phone: 5139414999

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 287 05
OH 063000 05

Office Location

Street Address 680 NORTHLAND BLVD
City CINCINNATI
State OH
Zip Code 45240-3248

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CINCINNATI
Zip Code 45240

Improve Information

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Dataset Information

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.

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