Anita Louise Boley
Individual provider Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Maple Heights, OH
NPI 1801576707 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1801576707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- License
- 1814022 (OH)
- Practice address
- 15612 Greendale Rd
Maple Heights, OH 44137-3716 - Phone
- (216) 632-4123
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1814022 | OH | MD | Child Intellectual and/or Developmental Disabilities Respite Care |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 1814022 | OH | Yes |
Addresses
Primary practice location
15612 Greendale Rd
Maple Heights, OH 44137-3716
Mailing address
15612 Greendale Rd
Maple Heights, OH 44137-3716
Phone (216) 632-4123
Other providers in Maple Heights, OH
- Samuel Bland
- Bloom Behavioral Health, LLC
- Bloom Counseling Collective LLC
- Reynaldo Boff-Clinger
- Marquel Monique Bolden
- Lavelle Borum
- Ma'Nautica Boyd
- Krystal Brantley
- Darlene Brashers
- Kanika Jamila Braxton
All providers in Maple Heights, OH · Child Intellectual and/or Developmental Disabilities Respite Care in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.