Greater Cincinnati Child Development Center

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

200780 Issued in OH

Legal business name

GREATER CINCINNATI CHILD DEVELOPMENT CENTER

Practice address

3516 Harrison Ave
Cincinnati, OH 45211-5595

Phone

(513) 407-6026

Fax

(513) 407-7101

NPI assigned

Apr 27, 2015

Organization subpart

Yes

Parent organization

WESTSIDE RESIDENTIALAs reported in NPPES

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

Authorized official

Name

Shawntay Corisha Oliver

Title

Ceo/ Owner

Phone

(513) 407-6026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1669859856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115595",
            "telephone_number": "513-407-6026",
            "fax_number": "513-407-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115595",
            "telephone_number": "513-407-6026",
            "fax_number": "513-407-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CINCINNATI CHILD DEVELOPMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE RESIDENTIAL",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SHAWNTAY",
        "authorized_official_middle_name": "CORISHA",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "513-407-6026"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "200780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Cincinnati Associated Physicians, Inc
• Greater Cincinnati Behavioral Health Services
• Greater Cincinnati Behavioral Health Services
• Greater Cincinnati Behavioral Neuroscience Center LLC
• Greater Cincinnati Cardiovascular Consultants
• Greater Cincinnati Chiropractic
• Greater Cincinnati Counseling Services
• Greater Cincinnati Digestive Health Network
• Greater Cincinnati Home Health Care Inc.
• Greater Cincinnati OB/GYN, Inc.

• Child Intellectual and/or Developmental Disabilities Respite Care in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.