My Brothers Keeper Residential and Family Services

Primary specialty

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

Legal business name

MY BROTHERS KEEPER RESIDENTIAL AND FAMILY SERVICES

Practice address

4449 Lee Heights Blvd
Warrensville Heights, OH 44128-3505

Phone

(216) 662-0344

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Robert WaughNPI 1447935929

Title

Ceo

Phone

(330) 998-6055

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Waugh

  • Homemaker
  • Warrensville Heights, OH
  • NPI 1447935929
  NPD Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1700566148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BELFAIR DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871163",
            "telephone_number": "330-998-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 LEE HEIGHTS BLVD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441283505",
            "telephone_number": "216-662-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHERS KEEPER RESIDENTIAL AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-998-6055"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Mulquin-Peterson, NP
• Lauren Sarah Munoz Tremblay, DO
• Megan Murphy
• Ta'Shawnna Murray
• Kristina Musan, NP
• Sabrina Renee Myles, PEER RECOVERY
• Jade Natali, PHARMD
• Rei Ndoni
• Shantel Neeley
• Jordan Perry Nelson, DO

• Child Intellectual and/or Developmental Disabilities Respite Care in Warrensville Heights, OH
• Providers in Warrensville Heights, 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 Jul 20, 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.