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NPI Code Detail

MEDICARE: CARE AFFILIATES BEHAVIORAL HEALTH SERVICES LLC

MEDICARE: CARE AFFILIATES BEHAVIORAL HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5320800000XMental Illness Community Based Residential Treatment Facility
6322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
7385H00000XRespite Care
8385HR2055XChild Mental Illness Respite Care
9163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse
10251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S.1302101OTHEROHLICENSE
2S.0028337OTHEROHLSW
3RN.408061OTHEROHRN LICENSE
4S.1302632OTHEROHLICENSE
5I.1801362-SUPVOTHEROHLISW

General Provider Information

NPI Number : 1588402168
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE AFFILIATES BEHAVIORAL HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 3100 E 45TH ST STE 464
Second Line :
City : CLEVELAND
State : OH
Zip : 44127-1088
Country : US
Telephone Number : 877-692-2731
Fax Number :
Provider Business Practice Location Address
First Line : 3100 E 45TH ST STE 464
Second Line :
City : CLEVELAND
State : OH
Zip : 44127-1088
Country : US
Telephone Number : 877-692-2731
Fax Number :
Authorized Official
Title or Position : CEO
Name : KENYA SMITH
Credential :
Telephone Number : 877-692-2731
Provider Enumeration Date : 07/17/2024
Last Update Date : 03/25/2026

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