United Community Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UNITED COMMUNITY WELLNESS LLC

Practice address

26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190

Phone

(234) 244-7109

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By 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

Ronnell MassengillNPI 1629931811

Title

Owner

Phone

(234) 277-7109

Specialties & licenses 1

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.

• Ronnell Massengill

  • Community Health Worker
  • Beachwood, OH
  • NPI 1629931811
  Authorized official Same address or phone

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1053148593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 1105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221190",
            "telephone_number": "234-244-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 1105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221190",
            "telephone_number": "234-244-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMMUNITY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MASSENGILL",
        "authorized_official_first_name": "RONNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "234-277-7109"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Beachwood, OH
• Providers in Beachwood, 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 Sep 18, 2024; 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.