SALLY CLEVENGER (NPI# 1467844357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467844357 |
Entity Type | Individual |
Full Name | SALLY CLEVENGER |
Practice Address |
8420 Burns Ave Cincinnati OH 45216-1106 |
Practice Telephone | 5132267712 |
Mailing Telephone | 5132267712 |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-03-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
Street Address |
8420 BURNS AVE |
City | CINCINNATI |
State | OH |
Zip Code | 45216-1106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568947950 | Adreannia Frazier | Licensed Practical Nurse | 1020 Elm Park Drive 2, Cincinnati, OH 45216 | 2018-10-01 |
1568991925 | Phadra M Gray | Registered Nurse | 6725 Lebanon St, Cincinnati, OH 45216 | 2017-06-08 |
1184079501 | Jessica Short | Community Health Worker | 8355 Burns Ave, Cincinnati, OH 45216 | 2016-05-04 |
1558768630 | Heather Kathleen Corwin | Psychologist | 400 Maple Street, Elmwood Place, OH 45216 | 2014-12-04 |
1932458668 | Denise Gabrielle Ditraglia | Licensed Practical Nurse | 151 West Gal Braith Rd, Drake Center/u.c. Health, Cincinnati, OH 45216 | 2012-09-10 |
1770847907 | Jeffery Murphy | Family Medicine | 24 Compton Rd Ste 205, Cincinnati, OH 45216 | 2012-07-03 |
1982978540 | Mary E Leemhuis | Physical Therapist | 151 West Galbraith Rd, Cincinnati, OH 45216 | 2012-02-29 |
1952601874 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 8240 Monon Avenue, Cincinnati, OH 45216 | 2010-10-26 |
1386712958 | Mary Caroleen Arnold Long | Clinical Nurse Specialist | 15 W Galbraith Rd, Cincinnati, OH 45216 | 2006-12-01 |
1639183551 | David S Frimer | Family Medicine | 24 Compton Road, Suite 205, Cincinnati, OH 45216 | 2006-07-28 |
Find all providers in zip 45216 |
Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811376718 | Barbara Ann Sims | Residential Treatment Facility, Physical Disabilities | 933 Sarbrook Dr, Cincinnati, OH 45231-3717 | 2015-05-26 |
1669870523 | Sabrina Brunner | Residential Treatment Facility, Physical Disabilities | 3665 Erie Ave, Cincinnati, OH 45298-4703 | 2014-12-09 |
1083117527 | Integrity Home Health Care | Residential Treatment Facility, Physical Disabilities | 6269 Stover Ave, Cincinnati, OH 45237-4825 | 2018-03-12 |
1689873978 | Erin L Goins | Residential Treatment Facility, Physical Disabilities | 8650 Governors Hill Dr Ste 180, Cincinnati, OH 45249-1399 | 2007-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871144717 | Elaines House | Residential Treatment Facility, Physical Disabilities | 1218 Shirley Ave, Toledo, OH 43607-3438 | 2019-09-23 |
1568952927 | Chanae Edwanna Allen | Residential Treatment Facility, Physical Disabilities | 6833 Spring Bloom Dr, Canal Winchester, OH 43110-7803 | 2018-05-11 |
1073042248 | Mentis Ohio, LLC | Residential Treatment Facility, Physical Disabilities | 10101 Alliance Rd, Blue Ash, OH 45242-4739 | 2017-06-09 |
1639626203 | Tawana Duncan | Residential Treatment Facility, Physical Disabilities | 1363 East 93rd St, Cleveland, OH 44106 | 2016-09-01 |
1972962157 | Brandon Geiser | Residential Treatment Facility, Physical Disabilities | 17042 County Road 12, Pioneer, OH 43554-9633 | 2016-02-17 |
1194196964 | Sheila Simms | Residential Treatment Facility, Physical Disabilities | 8413 Reading Rd, Reading, OH 45215-5620 | 2015-10-19 |
1477945194 | Mary Weller | Residential Treatment Facility, Physical Disabilities | 3331 Wendover St, Springfield, OH 45506-4315 | 2015-03-04 |
1205243300 | Burl Warrick | Residential Treatment Facility, Physical Disabilities | 748 Sophia St, East Liverpool, OH 43920-2614 | 2014-07-21 |
1053747386 | Beyond The Horizons Home Health Care Agency LLC | Residential Treatment Facility, Physical Disabilities | 2645 Fairwood Ave, Columbus, OH 43207-2729 | 2013-09-18 |
1356775159 | Paige Fitch | Residential Treatment Facility, Physical Disabilities | 2627 Colchester Rd, 3rd Floor, Cleveland Hts, OH 44106-3664 | 2013-08-28 |
Find all providers with the same taxonomy |
City | CINCINNATI |
Zip Code | 45216 |
Please comment or provide details below to improve the information on SALLY CLEVENGER.
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.