Keldric Companion Adult Day Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KELDRIC COMPANION ADULT DAY CENTER

Practice address

5615 Perkins Rd
Bedford Heights, OH 44146-2558

Phone

(440) 521-4525

Fax

(440) 543-6054

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Lorean Knuckles

Title

Owner

Phone

(440) 521-4525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1679845697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 PERKINS RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441462558",
            "telephone_number": "440-521-4525",
            "fax_number": "440-543-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 PERKINS RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441462558",
            "telephone_number": "440-521-4525",
            "fax_number": "440-543-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELDRIC COMPANION ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "KNUCKLES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "LOREAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-521-4525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Johnson
• Kim Yvette Jordan, LPCC-S
• Nishkam Raul Joshi
• Imoni Madina Joyner
• Dustin Robert Kaplan, AT, LMT, ATC, CSCS
• Jayda Kelly
• Marcia Kimbrough
• Daniel Kinney
• Iris Kirkland
• Jason Kirksey, QMHS

• Adult Day Care Clinic/Center in Bedford Heights, OH
• Providers in Bedford Heights, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.