NCC Harvest, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

315P00000X Issued in OH

Legal business name

NCC HARVEST, INC.

Practice address

12627 York Rd
North Royalton, OH 44133-3616

Phone

(440) 582-3300

Fax

(440) 582-1980

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Milo Abercrombie

Title

Administrator

Phone

(440) 582-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G206

Legal name

NCC HARVEST INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

May 24, 1985

Last certification

May 19, 2025

Beds

48

Ownership / control type

Private (non-profit)

Facility address

12627 York Road
North Royalton, OH 44133

Practitioners 1

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

• Emmanuel Boateng Boakye, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1710138938
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427135474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 YORK RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333616",
            "telephone_number": "440-582-3300",
            "fax_number": "440-582-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 YORK RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333616",
            "telephone_number": "440-582-3300",
            "fax_number": "440-582-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCC HARVEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABERCROMBIE",
        "authorized_official_first_name": "MILO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-582-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "315P00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison R Mysliwiec, CT
• N8 Family Chiropractic of North Royalton, L.L.C.
• Kathryn Barrord Nagel, LPCC
• Christina Simmons Nassif, O.D.
• Nathaniel M. Taylor, DMD, LLC.
• Claudia Sue Nekl, R.N.
• William Eugene Nettgen
• Neurotech, LLC
• New Vista Services, LTD
• Sally A Newman, P.T.

• Intellectual Disabilities Intermediate Care Facility in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.