Organization
NORTHEAST OHIO COMMUNITY SUPPORT DAY SERVICE LLC
Active
Organization
NORTHEAST OHIO COMMUNITY SUPPORT DAY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE M PERKINS (CEO)
(216) 279-4118
Entity
Organization
Contact information
Practice address
1766 SUNSET DR, RICHMOND HEIGHTS, OH 44143-1245
(216) 279-4118
Mailing address
1766 SUNSET DR, RICHMOND HEIGHTS, OH 44143-1245
(216) 279-4118
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up