Healthcare Provider Details

I. General information

NPI: 1013845718
Provider Name (Legal Business Name): BE GREATER YOUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 NORTHFIELD RD STE 326
BEDFORD HEIGHTS OH
44146-1135
US

IV. Provider business mailing address

5311 NORTHFIELD RD STE 326
BEDFORD HEIGHTS OH
44146-1135
US

V. Phone/Fax

Practice location:
  • Phone: 440-539-7745
  • Fax: 440-703-6164
Mailing address:
  • Phone: 440-539-7745
  • Fax: 440-703-6164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND DOWNEY
Title or Position: OWNER
Credential:
Phone: 440-539-7745