Organization Active NPI

Premier Kids Academy LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Lyndhurst, OH
National Provider Identifier
1285594200
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
PREMIER KIDS ACADEMY LLC
Practice address
5171 Mayfield Rd
Lyndhurst, OH 44124-2405
Phone
(440) 209-2296
Fax
(440) 683-4227
NPI assigned
Nov 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Tanisha Jamison, CEO,AANPI 1306706346
Title
Owner
Phone
(440) 488-7341

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

5171 Mayfield Rd
Lyndhurst, OH 44124-2405

Mailing address

5171 Mayfield Rd
Lyndhurst, OH 44124-2405
Phone (440) 209-2296

National Provider Directory

National Provider Directory

Locations

5171 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 209-2296

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1285594200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242405",
            "telephone_number": "440-209-2296",
            "fax_number": "440-683-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242405",
            "telephone_number": "440-209-2296",
            "fax_number": "440-683-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER KIDS ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-488-7341",
        "authorized_official_credential": "CEO,AA"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.