Organization Active NPI

Ohio Youth Wellness & Enrichment

  • Supports Brokerage Agency
  • Cleveland, OH
National Provider Identifier
1164387510
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
OHIO YOUTH WELLNESS & ENRICHMENT
Practice address
16327 Delrey Ave
Cleveland, OH 44128-1369
Phone
(440) 317-9980
NPI assigned
Dec 18, 2025
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLLIFE OHIO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Bianca M WilsonNPI 1770248676
Title
Owner
Phone
(440) 650-7215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

16327 Delrey Ave
Cleveland, OH 44128-1369

Mailing address

16327 Delrey Ave
Cleveland, OH 44128-1369
Phone (440) 317-9980

National Provider Directory

National Provider Directory
Part of
Ohio Youth Wellness Enrichment

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1164387510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16327 DELREY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281369",
            "telephone_number": "440-317-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16327 DELREY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281369",
            "telephone_number": "440-317-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO YOUTH WELLNESS & ENRICHMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLLIFE OHIO, LLC",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-650-7215"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 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.