FORTALEZA,LLC (NPI# 1386151645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386151645 |
| Entity Type | Organization |
| Organization Name | FORTALEZA,LLC |
| Practice Address |
41641 N Ridge Rd Elyria OH 44035-1264 |
| Practice Telephone | 4403247406 |
| Mailing Telephone | 4403247406 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | MRS. KELLI GOLLIHUE (BILLING SPECIALIST) |
| Authorized Official Telephone | 4195695475 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORTALEZA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Scranton Rd, Cleveland, OH 441134311 | 4403247406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427567445 | Fortaleza,llc | Psychiatry & Neurology | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-09-21 |
| 1326463720 | Fortaleza,llc | Clinic/Center | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1264 | 2014-02-22 |
| Street Address |
41641 N RIDGE RD |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003187477 | Laura Marie Walts | Counselor | 41641 N Ridge Rd, Suite B, Elyria, OH 44035-1245 | 2012-01-18 |
| 1427691518 | Saida Markovic | Social Worker | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-10-22 |
| 1922655935 | Carmita Mayfield | Licensed Practical Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-08-23 |
| 1396303566 | Ana Justine Pool | Registered Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-06-03 |
| 1225598972 | Lisa Mae Justus | Registered Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2019-03-20 |
| 1629573001 | Leslie Elizabeth Shephard | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-03-27 |
| 1649788290 | Myesha Crowe | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-01-17 |
| 1740716356 | Kathleen Hans | Licensed Practical Nurse | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2017-05-03 |
| 1356877898 | Linda Sexton | Counselor | 41641 N Ridge Rd, Suite B., Elyria, OH 44035-1264 | 2017-05-03 |
| 1114475258 | Jane Bragg-barnes | Clinic/Center | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651907 | Catholic Charities Services Corporation | Clinic/Center | 628 Poplar St, Elyria, OH 44035-4065 | 2006-05-27 |
| 1225688906 | The Genesis Center | Clinic/Center | 457 Griswold Rd, Elyria, OH 44035-2304 | 2019-09-16 |
| 1639562663 | Rakesh Ranjan Md, Assoc, Inc | Clinic/Center | 347 Midway Blvd, Ste 210, Elyria, OH 44035-9006 | 2015-03-16 |
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|---|---|---|---|---|
| 1952902405 | Cunningham Counseling and Consultation, LLC | Clinic/Center | 5986 Abbey Church Rd, Dublin, OH 43017-2541 | 2020-11-02 |
| 1386243939 | Tree of Life Healthcare LLC | Clinic/Center | 3043 Kiwatha Rd, Youngstown, OH 44511-3003 | 2020-10-23 |
| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| 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.