ELIZA BRYANT VILLAGE (NPI# 1598325201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598325201 |
| Entity Type | Organization |
| Organization Name | ELIZA BRYANT VILLAGE |
| Practice Address |
7201 Wade Park Ave. Cleaveland OH 44103 |
| Practice Telephone | 2163616141 |
| Practice Fax Number | 2165881982 |
| Mailing Telephone | 2163616141 |
| Mailing Fax Number | 2165881982 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | MR. DANNY WILLIAMS (PRESIDENT/CEO) |
| Authorized Official Telephone | 2166581821 |
| Authorized Official Credential | JD, MNO, LNHA |
| Is Organization Subpart | Y |
| Parent Organization Name | ELIZA BRYANT VILLAGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0612822 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438145 | Eliza Bryant Village | Skilled Nursing Facility | 7201 Wade Park Ave, Cleveland, OH 44103 | 2005-09-27 |
| Street Address |
7201 WADE PARK AVE. |
| City | CLEAVELAND |
| State | OH |
| Zip Code | 44103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| 1134659345 | Dewayne T. Thomas Jr. | Counselor | 4400 Euclid Ave., Cleveland, OH 44103 | 2017-06-20 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942114 | From The Heart Home Healthcare Agency | Day Training, Developmentally Disabled Services | 69 Bird St, Gahanna, OH 43230-6706 | 2020-11-06 |
| 1578164356 | Darlene Mulpas | Day Training, Developmentally Disabled Services | 6224 Hall Rd, Centerburg, OH 43011-9732 | 2020-11-06 |
| 1558962332 | Rosemary Seymour | Day Training, Developmentally Disabled Services | 115 Somerset Rd, Delaware, OH 43015-2840 | 2020-11-06 |
| 1215538467 | Starlight Enterprises, Inc. | Day Training, Developmentally Disabled Services | 400 East High Ave, New Philadelphia, OH 44663 | 2020-11-04 |
| 1336740968 | Faithful Homes LLC | Day Training, Developmentally Disabled Services | 127 Wandle Ave, Bedford, OH 44146-2655 | 2020-11-02 |
| 1568062529 | Premier Approach, LLC | Day Training, Developmentally Disabled Services | 2056 Wales Rd Ne, Massillon, OH 44646-4112 | 2020-10-29 |
| 1578163531 | Statewide Transportation Services, LLC | Day Training, Developmentally Disabled Services | 969 Virginia Ave, Ashland, OH 44805-1949 | 2020-10-29 |
| 1205436250 | Growing Wings Adult Services LLC | Day Training, Developmentally Disabled Services | 107 5th St Se Ste 8, Barberton, OH 44203-4269 | 2020-10-29 |
| 1992305908 | Tonya L Love | Day Training, Developmentally Disabled Services | 706 Dorchester Rd, Akron, OH 44320-1941 | 2020-10-28 |
| 1104425750 | Sunshine Health Agency LLC | Day Training, Developmentally Disabled Services | 7885 Oak Orchard Ave, Blacklick, OH 43004-5038 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CLEAVELAND |
| Zip Code | 44103 |
Please comment or provide details below to improve the information on ELIZA BRYANT VILLAGE.
| 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.