Healthcare Provider Details
I. General information
NPI: 1104736180
Provider Name (Legal Business Name): AMCNAIRCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5311 NORTHFIELD RD
BEDFORD HEIGHTS OH
44146-1188
US
IV. Provider business mailing address
5311 NORTHFIELD RD
BEDFORD OH
44146-1188
US
V. Phone/Fax
- Phone: 216-532-6100
- Fax:
- Phone: 216-532-6100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
ASHLEY
MCNAIR
Title or Position: OWNER
Credential:
Phone: 216-532-6100