Active NPI
Quality Care Residence LLC
- Mental Illness Community Based Residential Treatment Facility
- Cleveland, OH
National Provider Identifier
1538096201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- QUALITY CARE RESIDENCE LLC
- Practice address
- 561 E 112TH St
Cleveland, OH 44108-1406 - Phone
- (216) 333-6053
- NPI assigned
- May 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chayle Danielle Gordon
- Title
- Owner
- Phone
- (216) 333-6053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
561 E 112TH St
Cleveland, OH 44108-1406
Mailing address
21271 Crystal Ave
Euclid, OH 44123-2123
Phone (216) 333-6053
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1538096201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21271 CRYSTAL AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441232123",
"telephone_number": "216-333-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 E 112TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441081406",
"telephone_number": "216-333-6053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CARE RESIDENCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "CHAYLE",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-333-6053"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.