Organization Active NPI

Goddesses Blessing Goddesses

  • Voluntary or Charitable Agency
  • Cleveland, OH
National Provider Identifier
1083032650
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GODDESSES BLESSING GODDESSES
Doing business as
Goddess Retreat
Practice address
3300 E 55TH St
Cleveland, OH 44127-1529
Phone
(216) 502-0082
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Ladonna Blaylock
Title
Executive Director
Phone
(216) 502-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3300 E 55TH St
Cleveland, OH 44127-1529

Mailing address

3300 E 55TH St
Cleveland, OH 44127-1529
Phone (216) 502-0082

Other names 1

  • Goddess Retreat Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1083032650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271529",
            "telephone_number": "216-502-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271529",
            "telephone_number": "216-502-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDESSES BLESSING GODDESSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-502-0082",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goddess Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.