NPIMap

Organization Active NPI

Suhas LLC

  • Primary Care Clinic/Center
  • Mentor, OH
National Provider Identifier
1316623952
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUHAS LLC
Practice address
9110 Mentor Ave Ste 9B
Mentor, OH 44060-6404
Phone
(440) 701-8030
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Ganga Bhavani Venuthurla
Title
Center Director
Phone
(440) 701-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9110 Mentor Ave Ste 9B
Mentor, OH 44060-6404

Mailing address

PO Box 10417
Holyoke, MA 01041-2017

Other names 1

  • American Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

9110 Mentor Ave
Ste 9B
Mentor, OH 44060
Phone (440) 701-8030

9110 Mentor Ave
Mentor, OH 44060
Phone (440) 701-8030

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1316623952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 MENTOR AVE STE 9B",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606404",
            "telephone_number": "440-701-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "VENUTHURLA",
        "authorized_official_first_name": "GANGA",
        "authorized_official_middle_name": "BHAVANI",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "440-701-8030"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.