NEAR WEST SIDE MULTI SERVICE CORPORATION


Address: 4115 Bridge Ave, Cleveland, OH 44113-3304
Phone: 2166315800

NEAR WEST SIDE MULTI SERVICE CORPORATION (NPI# 1184960510) 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) 1184960510
Entity Type Organization
Organization Name NEAR WEST SIDE MULTI SERVICE CORPORATION
Other Organization Name MAY DUGAN CENTER
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 2012-12-12
Last Update Date 2014-04-01
Authorized Official Name MR. RICK ANTHONY KEMM (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2166315800
Authorized Official Credential MNO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management OH Agencies
Y 251S00000X Community/Behavioral Health OH Agencies

Other Provider/Organization Names

Other Name Type Code
May Dugan Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184194045 Near West Side Multi Service Corporation Case Management 4115 Bridge Ave, Cleveland, OH 44113-3304 2018-12-04

Office Location

Street Address 4115 BRIDGE AVE
City CLEVELAND
State OH
Zip Code 44113-3304

Providers in the same location

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
1184194045 Near West Side Multi Service Corporation Case Management 4115 Bridge Ave, Cleveland, OH 44113-3304 2018-12-04
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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326654740 Justin's Love Home Health Agency Community/Behavioral Health 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 2020-09-21
1063024008 To Attain Healing LLC Community/Behavioral Health 17325 Euclid Ave Ste 3060, Cleveland, OH 44112-1256 2020-08-20
1740806751 One Child Every Chance Foundation LLC Community/Behavioral Health 5909 Cable Ave, Cleveland, OH 44127-1745 2020-06-25
1649899048 Amyra Support Services, LLC Community/Behavioral Health 11811 Shaker Blvd Ste 113d, Cleveland, OH 44120-1927 2020-04-15
1447886973 Infinity Hearts LLC Community/Behavioral Health 17325 Euclid Ave Ste 4133, Cleveland, OH 44112-1262 2020-03-16
1184255549 Peter James Development & Independent Living, Inc. Community/Behavioral Health 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 2020-02-03
1255970679 Heart To Heart Health and Wellness Community/Behavioral Health 17325 Euclid Ave Ste 2145, Cleveland, OH 44112-1247 2020-01-02
1164068540 First and Twenty Five LLC Community/Behavioral Health 12305 Arlington Ave, Cleveland, OH 44108-2359 2019-11-21
1124580303 Lighthouse Community Care Inc Community/Behavioral Health 4500 Lee Rd Ste 231, Cleveland, OH 44128-2959 2019-04-04
1467916809 Inter-cept Consultant Services, LLC Community/Behavioral Health 13303 Beachwood Ave, Cleveland, OH 44105-6415 2019-01-30
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Competitor

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City CLEVELAND
Zip Code 44113

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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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