Bri Rae Sober Living and Addiction Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRI RAE SOBER LIVING AND ADDICTION SERVICE

Practice address

1256 Melbourne Rd
East Cleveland, OH 44112-4137

Phone

(216) 868-5182

NPI assigned

May 31, 2023

Last updated

May 31, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nakita Brock-Darling

Title

President

Phone

(216) 270-9101

Specialties & licenses 8

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tedra Jackson

  • Personal Care Attendant
  • Cleveland, OH
  • NPI 1255211447

  Day Training, Developmentally Disabled Services

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1043903628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CHINABERRY CIR S",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562324",
            "telephone_number": "216-270-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 MELBOURNE RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441124137",
            "telephone_number": "216-868-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRI RAE SOBER LIVING AND ADDICTION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "BROCK-DARLING",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-270-9101"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madolyn Martia Blanchard Underwood, LPN
• Carmen Body-Atchinson
• Caroyln Boone
• Patriana Dierra Brandon
• Andrei Brateanu, M.D.
• Charity Brickley
• Julice Lynn Brinkley
• Akilah Brown
• John D Brownlee, M.D.
• Shamanique Ramika Bryant, STNA

• Community/Behavioral Health Agency in East Cleveland, OH
• Providers in East Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.