Organization Active NPI

Wyn Resources LLC

  • Community/Behavioral Health Agency
  • Cleveland Heights, OH
National Provider Identifier
1497590905
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WYN RESOURCES LLC
Practice address
3397 Meadowbrook Blvd
Cleveland Heights, OH 44118-3429
Phone
(216) 894-1752
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Miss Leether Grene, BSBA
Title
Owner
Phone
(216) 894-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3397 Meadowbrook Blvd
Cleveland Heights, OH 44118-3429

Mailing address

3397 Meadowbrook Blvd
Cleveland Heights, OH 44118-3429
Phone (216) 894-1752

Other identifiers 1

IdentifierTypeStateIssuer
0284609MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1497590905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 MEADOWBROOK BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183429",
            "telephone_number": "216-894-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 MEADOWBROOK BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183429",
            "telephone_number": "216-894-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYN RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "GRENE",
        "authorized_official_first_name": "LEETHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-894-1752",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.