Organization
PREMIER KIDS ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA JAMISON CEO,AA (OWNER)
(440) 488-7341
Entity
Organization
Contact information
Practice address
5171 MAYFIELD RD, LYNDHURST, OH 44124-2405
(440) 209-2296
(440) 683-4227
Mailing address
5171 MAYFIELD RD, LYNDHURST, OH 44124-2405
(440) 209-2296
(440) 683-4227
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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