Midwest Community Support LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MIDWEST COMMUNITY SUPPORT LLC

Doing business as

Midwest Community Support LLC

Practice address

3516 Harrison Ave
Cincinnati, OH 45211-5595

Phone

(513) 557-8020

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sira Soumare

Title

Doo

Phone

(513) 557-8020

Specialties & licenses 1

Addresses

Other names 1

• Midwest Community Support LLC Doing business as

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1750066460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 TARAWA DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241100",
            "telephone_number": "513-557-8020"
        },
        {
            "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": "513-557-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COMMUNITY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SOUMARE",
        "authorized_official_first_name": "SIRA",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "513-557-8020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Community Support LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Blake Middleton, BS, MPT, DPT
• Shirley Ann Middleton, LICDC, LSW
• Middletown Senior Center Inc
• Hana Elizabeth Midtlien
• Midwest Care Kenwood LLC
• Midwest Dysphagia Consultants, LLC
• Midwest Eye Surgery Center
• Midwest Health Group LLC
• Midwest Practioners, LLC
• Midwest Services Inc.

• Adult Day Care Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, 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 Jun 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.