MEDICARE: REMEDEE HEIGHTS MENTAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency
4	261QD1600X	Developmental Disabilities Clinic/Center
5	261QA0600X	Adult Day Care Clinic/Center
6	320700000X	Physical Disabilities Residential Treatment Facility
7	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
8	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
9	385H00000X	Respite Care
10	385HR2055X	Child Mental Illness Respite Care
11	261QM0855X	Adolescent and Children Mental Health Clinic/Center
12	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124716022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDEE HEIGHTS MENTAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	4456 ABBE RD
Second Line	:
City	:	SHEFFIELD VILLAGE
State	:	OH
Zip	:	44054-2910
Country	:	US
Telephone Number	:	216-496-0814
Fax Number	:

Provider Business Practice Location Address
First Line	:	2969 MARTIN LUTHER KING JR DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-4865
Country	:	US
Telephone Number	:	440-657-0556
Fax Number	:	216-274-9696

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. DARITTA MARIE LATHAM
Credential	:
Telephone Number	:	216-496-0814

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	04/24/2026

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