Organization Active NPI

Advanced Care Group LLC

  • Developmental Disabilities Clinic/Center
  • South Euclid, OH
National Provider Identifier
1164210340
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ADVANCED CARE GROUP LLC
Practice address
14077 Cedar Rd Ste 102
South Euclid, OH 44118-3332
Phone
(404) 425-0122
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Abdikani Hassan
Title
President
Phone
(404) 425-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

14077 Cedar Rd Ste 102
South Euclid, OH 44118-3332

Mailing address

12734 Hampton Club Dr Apt 104
North Royalton, OH 44133-7436
Phone (404) 425-0122

National Provider Directory

National Provider Directory

Locations

14077 Cedar Rd
Ste 102
South Euclid, OH 44118
Phone (404) 425-0122

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1164210340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12734 HAMPTON CLUB DR APT 104",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441337436",
            "telephone_number": "404-425-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14077 CEDAR RD STE 102",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441183332",
            "telephone_number": "404-425-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDIKANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-425-0122"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.