Gbehzon Community Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GBEHZON COMMUNITY CORPORATION

Practice address

1031 Ansel Rd
Cleveland, OH 44103-2261

Phone

(951) 413-4908

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Simmon O. B. Logan Sr.

Title

Ceo/President

Phone

(951) 413-4908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1356082325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18009 LAKE SHORE BLVD APT 303",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441191244",
            "telephone_number": "951-413-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 ANSEL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032261",
            "telephone_number": "951-413-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15715 Trafalgar Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441101635",
            "country_code": "US",
            "telephone_number": "951-413-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GBEHZON COMMUNITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "SIMMON",
        "authorized_official_middle_name": "O. B.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-413-4908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Gaytan, M.S., CCC-SLP
• Meghan E Gayter, LSW
• Christina Gazarek, RN
• Kim A. Gazella, MA, ATR
• Antimo Paul Gazzillo
• Katrina Geannopoulos
• Deborah Gear, RN
• Adam Geary, CAA
• Houry Gebeshian, PA-C
• Erik Gebhardt

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.