Western Reserve Recovery Clinic LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

WESTERN RESERVE RECOVERY CLINIC LLC

Practice address

15803 Fernway Ave
Cleveland, OH 44111-1051

Phone

(216) 299-3874

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Robert A Gildone Jr

Title

Ceo

Phone

(216) 299-3874

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.

• Robert Alan Gildone Jr., CNP

  • Adult Health Nurse Practitioner
  • Akron, OH
  • NPI 1508967118
  NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1174304349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15803 FERNWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111051",
            "telephone_number": "216-299-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 FERNWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111051",
            "telephone_number": "216-299-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE RECOVERY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "GILDONE JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-299-3874"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison M. Westcott, M.D.
• Isabelle Westcott, MS, CGC
• Western Reserve Area Agency on Aging
• Western Reserve at Home Support LLC
• Western Reserve Care Solutions, LLC
• Western Reserve Recovery Clinic LLC
• Donna M Westfall, CNP
• Patricia Ann Westfall, LISW
• Westgate Medical Anesthesia Group
• Westgate Pain Management Group, LLC

• Adult Health Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.