OHIO BEHAVORIAL HEALTH SYSTEM, INC. (NPI# 1538638101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538638101 |
Entity Type | Organization |
Organization Name | OHIO BEHAVORIAL HEALTH SYSTEM, INC. |
Practice Address |
3100 E 45th St Ste 408 Cleveland OH 44127-1095 |
Mailing Address |
2201 W 93rd St Cleveland OH 44102-3778 |
Practice Telephone | 2162302001 |
Enumeration Date | 2018-11-13 |
Last Update Date | 2019-11-27 |
Authorized Official Name | ALFONZO BAILEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2166826717 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
3100 E 45TH ST STE 408 |
City | CLEVELAND |
State | OH |
Zip Code | 44127-1095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487277083 | Alethea Vicktoria Ganaway | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-05-19 |
1689296543 | Michael Thompson Jr. | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-05-14 |
1619598992 | Rashid Sharif | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-04-28 |
1306467675 | Briana K. Spain | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-04-28 |
1174144430 | Adrian Cammon | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-04-28 |
1487281481 | Lajanae Morman | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-03-27 |
1174150189 | Montaisha L. Pitts | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-03-27 |
1821625823 | Audrey Davison | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-03-27 |
1831726843 | Carmella M Rowdy | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-03-27 |
1285261214 | Jessica C. Thomas | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
1932602018 | Daisetta Harris | Counselor | 3100 East 45 Place, 212, Cleveland, OH 44127 | 2018-03-14 |
1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
1578004065 | Lorene Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 438, Cleveland, OH 44127 | 2017-03-16 |
1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
1568881803 | Broadway Academy, Inc. | Local Education Agency (LEA) | 3398 East 55th Street, Cleveland, OH 44127 | 2014-04-15 |
1154665966 | Rose Ann Broadus | Home Health Aide | 3926 Mcbride Avenue, Cleveland, OH 44127 | 2012-11-16 |
1396002457 | Ne'cole Lynn Broadus | Home Health Aide | 5073 Pershing Avenue, Cleveland, OH 44127 | 2012-04-13 |
1790059764 | Sheniece Fountaine | Home Health | 7028 Ivy Ave, Cleveland, OH 44127 | 2012-03-08 |
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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 |
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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.