Healthcare Provider Details

I. General information

NPI: 1588544597
Provider Name (Legal Business Name): SYNCHRONIZED HEALTH AND RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 MAYFIELD RD STE 112
LYNDHURST OH
44124-2608
US

IV. Provider business mailing address

PO BOX 32484
EUCLID OH
44132-0484
US

V. Phone/Fax

Practice location:
  • Phone: 216-233-4574
  • Fax:
Mailing address:
  • Phone: 216-233-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHASHONNA DUCKWORTH
Title or Position: CEO
Credential:
Phone: 216-233-4574