NEAR WEST SIDE MULTI SERVICE CORPORATION (NPI# 1184194045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184194045 |
| Entity Type | Organization |
| Organization Name | NEAR WEST SIDE MULTI SERVICE CORPORATION |
| Practice Address |
4115 Bridge Ave Cleveland OH 44113-3304 |
| Practice Telephone | 2166315800 |
| Practice Fax Number | 2166314595 |
| Mailing Telephone | 2166315800 |
| Mailing Fax Number | 2166314595 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MR. RICK A KEMM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2166315800 |
| Authorized Official Credential | MNO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184960510 | Near West Side Multi Service Corporation | Case Management | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2012-12-12 |
| Street Address |
4115 BRIDGE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356642441 | Alison Theurer | Counselor | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2010-11-05 |
| 1003441999 | Darrylyn Chyress Lockhart | Counselor | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2020-03-11 |
| 1508396102 | Calandra Williams | Counselor | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2017-06-15 |
| 1245764018 | Lucy Linares | Case Manager/Care Coordinator | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2017-04-18 |
| 1154872257 | Douglas Vest | Social Worker | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2016-10-24 |
| 1366992455 | Peter Katsilis | Social Worker | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2016-10-12 |
| 1013347137 | Mervat M Khafaga | Social Worker | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2013-11-27 |
| 1184960510 | Near West Side Multi Service Corporation | Case Management | 4115 Bridge Ave, Cleveland, OH 44113-3304 | 2012-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1356868871 | Washington Health Care Management, LLC | Clinic/Center | 11510 Buckeye Rd, Cleveland, OH 44104-3828 | 2017-08-25 |
| 1528434149 | The Jericho House | Clinic/Center | 6757 Duncan Bridge Rd, Cleveland, GA 30528-5170 | 2015-08-18 |
| 1609151372 | Council for Economic Opportunities In Greater Cleveland | Clinic/Center | 1801 Superior Ave E Ste 400, Cleveland, OH 44114 | 2011-10-13 |
| 1467598391 | Stella Maris, Inc | Clinic/Center | 1302 Winslow Avenue, Cleveland, OH 44113-2333 | 2007-01-29 |
| 1659328771 | Catholic Charities Corporation | Clinic/Center | 3135 Euclid Ave, Suite 202, Cleveland, OH 44115-2531 | 2006-05-27 |
| 1174572168 | Stella Maris, Inc. | Clinic/Center | 1292 Winslow Ave, Cleveland, OH 44113-2334 | 2006-05-08 |
| 1619934676 | Bureau of Drug Abuse,cleveland Treatment Center,inc. | Clinic/Center | 1127 Carnegie Ave, Cleveland, OH 44115-2805 | 2006-04-26 |
| 1821581786 | Sophisticated One Counseling | Clinic/Center | 3301 Archmere Ave, Cleveland, OH 44109-5400 | 2018-06-14 |
| 1235631201 | Circle Health Services | Clinic/Center | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2018-03-06 |
| Find all providers in CLEVELAND | ||||
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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.