Individual provider Active NPI

Shontae S Benison

  • Adult Day Care Clinic/Center
  • Parma, OH
National Provider Identifier
1669101267
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Practice address
9697 Brookpark Rd
Parma, OH 44129-6811
Phone
(440) 625-6300
Fax
(440) 625-6301
NPI assigned
Jun 8, 2022
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3826HHN OH
Adult Day Care Clinic/Center 261QA0600X OH Primary
Registered Record Administrator 246YR1600X OH

Addresses

Primary practice location

9697 Brookpark Rd
Parma, OH 44129-6811

Mailing address

13212 Terminal Ave
Cleveland, OH 44135-4814
Phone (440) 625-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3826HHNOHMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
American Benison Cleaning Home Health CurrentSince Jun 12, 2022 Accepting new patients
American Benison Cleaning Home Health CurrentSince Jul 1, 2022 Accepting new patients

Locations

1100 W Bagley Rd
Berea, OH 44017

9697 Brookpark Rd
Parma, OH 44129
Phone (440) 625-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1669101267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13212 TERMINAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354814",
            "telephone_number": "440-625-6300",
            "fax_number": "440-625-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9697 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296811",
            "telephone_number": "440-625-6300",
            "fax_number": "440-625-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISON",
        "first_name": "SHONTAE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "3826HHN",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "246YR1600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.