DEDICATED OHIO HOLDING, LLC (NPI# 1023641867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023641867 |
| Entity Type | Organization |
| Organization Name | DEDICATED OHIO HOLDING, LLC |
| Other Organization Name | DEDICATED SENIOR MEDICAL CENTER EAST CLEVELAND |
| Practice Address |
15105 Saint Clair Ave Cleveland OH 44110-3719 |
| Mailing Address |
1395 Nw 167th St Miami FL 33169-5710 |
| Practice Telephone | 2168008020 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | MARY CHEN (OWNER) |
| Authorized Official Telephone | 3056286117 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEDICATED OHIO HOLDING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Dedicated Senior Medical Center Collinwood | Doing Business As Name - Organization |
| Dedicated Senior Medical Center East Cleveland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475643 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 6121 Colerain Ave, Cincinnati, OH 45239 | 2020-04-08 |
| 1215566658 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 5050 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-04-07 |
| 1003445578 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 5264 Lee Rd, Maple Heights, OH 44137-1232 | 2020-04-06 |
| 1164055711 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 7642 Reading Rd, Cincinnati, OH 45237-3204 | 2020-02-21 |
| Street Address |
15105 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44110-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417040155 | Jennifer Lynn Casey | Family Medicine | 15105 Saint Clair Ave, Cleveland, OH 44110-3719 | 2006-10-02 |
| 1093007718 | Raja Sekhar Machana | Pharmacist | 15105 Saint Clair Ave, Cleveland, OH 44110-3719 | 2011-05-12 |
| 1871883892 | Janet H Yoo | Internal Medicine | 15105 Saint Clair Ave, Cleveland, OH 44110-3719 | 2011-04-11 |
| 1073802336 | Lawrence Ogor Iwelunmor | Pharmacist | 15105 Saint Clair Ave, Cleveland, OH 44110-3719 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952287 | Tamika Bonner-conway | Licensed Practical Nurse | 15315 Lucknow Ave, Cleveland, OH 44110 | 2017-06-21 |
| 1831554039 | Neecy's Transportation LLC | Non-emergency Medical Transport (VAN) | 14036 St.clair Ave, Cleveland, OH 44110 | 2015-12-15 |
| 1770970758 | Sherri Craig | Home Health Aide | 16201b Lakeshore Blvd Apt123, Cleveland, OH 44110 | 2015-04-17 |
| 1538576897 | Alayjah M Terrell | Home Health Aide | 917 East 150th, Cleveland, OH 44110 | 2014-07-18 |
| 1700204955 | East Academy, Inc. | Local Education Agency (LEA) | 17520 Kipling, Cleveland, OH 44110 | 2014-04-04 |
| 1578990867 | Delaundria Denise Benjamin | Licensed Practical Nurse | 14206 Westropp Ave, Apt. 211, Cleveland, OH 44110 | 2013-10-01 |
| 1114262789 | Epiphany Damaja Baker | Home Health Aide | 892 E. 139th Street, Cleveland, OH 44110 | 2012-12-07 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1447495312 | Kathy Jean Taylor | Non-emergency Medical Transport (VAN) | 15218 Lakeshore Blvd, Cleveland, OH 44110 | 2008-12-08 |
| 1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
| Find all providers in zip 44110 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922633312 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2390 N Ocoee St, Cleveland, TN 37311-3850 | 2020-03-06 |
| 1295368397 | Dedicated Ohio Holding LLC | Non-Pharmacy Dispensing Site | 13719 Lorain Ave, Cleveland, OH 44111-3439 | 2020-02-17 |
| 1720592983 | Tennessee Valley Bone and Joint LLC | Non-Pharmacy Dispensing Site | 2350 N Ocoee Street, Cleveland, TN 37311 | 2017-11-27 |
| 1326216045 | Center for Families and Children | Non-Pharmacy Dispensing Site | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2008-02-15 |
| 1215154109 | Peerless Medical Associates | Non-Pharmacy Dispensing Site | 1060 Peerless Crossing Dr, Ste 200, Cleveland, TN 37312 | 2007-04-20 |
| 1740363936 | Christopher N Mullin | Non-Pharmacy Dispensing Site | 2301 N Ocoee St, Ste A, Cleveland, TN 37311-3863 | 2006-10-23 |
| 1245241892 | Dennis Clifford Ford Md | Non-Pharmacy Dispensing Site | 2020 Keith St Nw, Ste C, Cleveland, TN 37311-1351 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1619417284 | Comprehensive Family Practice of Columbiana | Non-Pharmacy Dispensing Site | 913 Columbiana Canfield Rd, Columbiana, OH 44408-9457 | 2017-03-02 |
| 1710391297 | Toledo Clinic Incorporated | Non-Pharmacy Dispensing Site | 4126 N Holland Sylvania Rd Ste 105, Toledo, OH 43623-3536 | 2014-06-12 |
| 1003102666 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 51342 National Road, Saint Clairsville, OH 43950 | 2011-06-22 |
| 1598054223 | Health Care Products Inc | Non-Pharmacy Dispensing Site | 410 Nisco St, Coldwater, OH 45828-8750 | 2011-04-04 |
| 1184838609 | Snodgrass Eye Care | Non-Pharmacy Dispensing Site | 60 N Miller Rd Ste A, Fairlawn, OH 44333-3702 | 2007-05-10 |
| 1174530141 | Midwest Neuroscience Inc | Non-Pharmacy Dispensing Site | 1 E Main St Ste 200a, Norwalk, OH 44857-1557 | 2006-08-02 |
| 1407475643 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 6121 Colerain Ave, Cincinnati, OH 45239 | 2020-04-08 |
| 1215566658 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 5050 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-04-07 |
| 1003445578 | Dedicated Ohio Holding, LLC | Non-Pharmacy Dispensing Site | 5264 Lee Rd, Maple Heights, OH 44137-1232 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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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.