MORRIS R, PENGILLY PA (NPI# 1417149295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417149295 |
| Entity Type | Organization |
| Organization Name | MORRIS R, PENGILLY PA |
| Practice Address |
3865 Rocky River Dr Suite 2 Cleveland OH 44111-4114 |
| Practice Telephone | 2169410230 |
| Practice Fax Number | 2169413566 |
| Mailing Telephone | 2169410230 |
| Mailing Fax Number | 2169413566 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |
| Authorized Official Name | MORRIS R PENGILLY (PRESIDENT) |
| Authorized Official Telephone | 2169410230 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | I-0001393 | OH | Agencies |
| Street Address |
3865 ROCKY RIVER DR SUITE 2 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962438226 | Richard G Kinkelaar Dds Inc | Dentist | 3865 Rocky River Dr, Cleveland, OH 44111-4114 | 2006-06-25 |
| 1730520107 | Halle N Waters | Dentist | 3865 Rocky River Dr, Suite 7, Cleveland, OH 44111-4114 | 2013-07-12 |
| 1033360235 | Robert Eugene Heston | Audiologist | 3865 Rocky River Dr, Cleveland, OH 44111-4114 | 2008-10-06 |
| 1356406458 | Benedict Heekyu Kim | Dentist | 3865 Rocky River Dr, Suite #6, Cleveland, OH 44111-4114 | 2006-12-27 |
| 1659389385 | Riveredge Dentistry Inc | Dentist | 3865 Rocky River Dr, Suite #7, Cleveland, OH 44111 | 2006-08-05 |
| 1104854413 | Eddie Earl Myers | Psychologist | 3865 Rocky River Dr, Suite 2, Cleveland, OH 44111-4114 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| 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.