Active NPI
Advanced Care Group LLC
- Developmental Disabilities Clinic/Center
- South Euclid, OH
National Provider Identifier
1164210340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.