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Quality Care Residence LLC

Community Based Residential Treatment Facility, Mental Illness in Cleveland, OH. Organization (NPI-2).

NPI number1538096201
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1538096201
Entity type
Organization (NPI-2)
Legal business name
Quality Care Residence LLC
Organization subpart
No
Enumeration date
May 6, 2026
Certification date
May 6, 2026
Last updated
May 6, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

561 E 112th St
Cleveland, OH 44108-1406

Phone 216-333-6053

Mailing address

21271 Crystal Ave
Euclid, OH 44123-2123

Phone 216-333-6053

Authorized official

Chayle Danielle Gordon
Owner
2163336053

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Illness Community Based Residential Treatment Facility providers in Cleveland, OH

All 9 Mental Illness Community Based Residential Treatment Facility providers in Cleveland · All 34,956 providers in Cleveland

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