Organization Active NPI

Quality Care Residence LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Cleveland, OH
National Provider Identifier
1538096201
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on May 6, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.