Amberdale LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMBERDALE LLC

Practice address

12833 Lorain Ave
Cleveland, OH 44111-2604

Phone

(216) 507-9093

NPI assigned

Apr 13, 2018

Organization subpart

No

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

Authorized official

Name

Adam Houston

Title

Ceo

Phone

(216) 507-9093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1891282026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 PHILLIPS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441084036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12833 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112604",
            "telephone_number": "216-507-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-507-9093"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Amato
• Roanne A Amatorio
• Amazn Delivery Service LLC
• Ravi Narendra Ambani, M.D.
• Rayshawn Ambeau
• Catherine Ambler
• Martazja Ambler
• Jennifer Ambrogio, PHARMD
• Maryann Ambrose, CNP
• Lailah Ameer

• Community/Behavioral Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.