PREMIER CARE OF OHIO, LLC. (NPI# 1396343844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396343844 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE OF OHIO, LLC. |
| Practice Address |
5 Severance Cir Ste 101 Cleveland Heights OH 44118-1513 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 2168598300 |
| Practice Fax Number | 9209260060 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 4806877361 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | TODD STINGLEY (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 6022488886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMMUNITY MEDICAL SERVICES CLEVELAND HEIGHTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1063012334 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 5 Severance Cir Ste 101, Cleveland Heights, OH 44118-1513 | 2020-10-27 |
| Street Address |
5 SEVERANCE CIR STE 101 |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44118-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012334 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 5 Severance Cir Ste 101, Cleveland Heights, OH 44118-1513 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815380 | Baymark Health Services of Ohio, Inc. | Clinic/Center | 2500 State Route 59 Ste 28&30, Kent, OH 44240-7105 | 2020-03-04 |
| 1811534324 | Baymark Health Services of Ohio | Clinic/Center | 45 Lazelle Rd, Columbus, OH 43235-1429 | 2019-12-03 |
| 1285280453 | New Season of Ohio, Lp | Clinic/Center | 1387-1389 Georgesville Road, Columbus, OH 43228-3611 | 2019-08-14 |
| 1831745355 | New Season of Ohio, Lp | Clinic/Center | 128 E Front St, Findlay, OH 45840-4813 | 2019-08-12 |
| 1104472620 | New Season of Ohio, Lp | Clinic/Center | 2765 E 55th St, Cleveland, OH 44104-2856 | 2019-08-12 |
| 1932755451 | New Season of Ohio, Lp | Clinic/Center | 8785 Mentor Ave, Mentor, OH 44060-6209 | 2019-08-12 |
| 1669028189 | New Season of Ohio, Lp | Clinic/Center | 6300 Brookpark Rd, Cleveland, OH 44129-1219 | 2019-08-12 |
| 1013563535 | New Season of Ohio, Lp | Clinic/Center | 20700 Libby Rd Unit 256, Maple Heights, OH 44137-2925 | 2019-08-12 |
| 1548815343 | New Season of Ohio, Lp | Clinic/Center | 1900 W Market St Ste 100, Akron, OH 44313-6927 | 2019-08-08 |
| 1306403118 | Baymark Health Services of Ohio | Clinic/Center | 749c State Route 28, Milford, OH 45150 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44118 |
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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.