Organization Active NPI

Amyra Support Services of Ohio , LLC

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1649899048
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMYRA SUPPORT SERVICES OF OHIO , LLC
Doing business as
AMYRA SUPPORT SERVICES OF OHIO , LLC
Practice address
11811 Shaker Blvd Ste 113D
Cleveland, OH 44120-1927
Phone
(216) 759-5467
Fax
(216) 759-5460
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Ms. Myra E. Ancar, OWNERNPI 1114558152
Title
Ceo
Phone
(216) 795-5467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11811 Shaker Blvd Ste 113D
Cleveland, OH 44120-1927

Mailing address

3513 E 113TH St
Cleveland, OH 44105-1829
Phone (216) 860-5228

Other names 1

  • AMYRA SUPPORT SERVICES OF OHIO , LLC Doing business as

National Provider Directory

National Provider Directory

Locations

11811 Shaker Blvd
Ste 113D
Cleveland, OH 44120
Phone (216) 312-1517

Practitioners & affiliated clinicians

Practitioners 1

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": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1649899048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 E 113TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051829",
            "telephone_number": "216-860-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD STE 113D",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201927",
            "telephone_number": "216-759-5467",
            "fax_number": "216-759-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMYRA SUPPORT SERVICES OF OHIO , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "ANCAR",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-795-5467",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMYRA SUPPORT SERVICES OF OHIO , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 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.