Dare to Be Different, LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

DARE TO BE DIFFERENT, LLC

Practice address

471 East 1421Street
Cleveland Heights, OH 44110

Phone

(501) 313-9659

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Bernice PettyNPI 1396254652

Title

Owner

Phone

(501) 313-9659

Specialties & licenses 1

Addresses

Other names 1

• Dare To Be Different, LLC Other name

Tax ID family

Dare to Be Different LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dare to Be Different, LLC

  • Adult Care Home Facility
  • Cleveland Heights, OH
  • NPI 1710536354
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernice Petty

  • Professional Counselor
  • South Euclid, OH
  • NPI 1396254652
  NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1043924145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3568 BRINKMORE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211338",
            "telephone_number": "501-313-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 EAST 1421STREET",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "44110",
            "telephone_number": "501-313-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE TO BE DIFFERENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-313-9659"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dare To Be Different, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• D&D Perfect Care
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• Karen Dames
• Regina Scherri Dancy, CDCA
• Danielle Timmons LLC
• Dare to Be Different, LLC
• Mihir Kanti Datta, M.D.
• Dave'S Supermarkets Inc.
• Elizabeth Ann Davis Walker, N.P.
• Tanya Vonicia Davis-Jones

• Private Vehicle in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Private Vehicle in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.