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NPI Code Detail

MEDICARE: BE GREATER YOUTH LLC

MEDICARE: BE GREATER YOUTH 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
1253Z00000XIn Home Supportive Care Agency
2322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1013845718
Entity Type Code : Organization
Provider Name (Legal Business Name) : BE GREATER YOUTH LLC
Provider Business Mailing Address
First Line : 5311 NORTHFIELD RD STE 326
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1135
Country : US
Telephone Number : 440-539-7745
Fax Number : 440-703-6164
Provider Business Practice Location Address
First Line : 5311 NORTHFIELD RD STE 326
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1135
Country : US
Telephone Number : 440-539-7745
Fax Number : 440-703-6164
Authorized Official
Title or Position : OWNER
Name : RAYMOND DOWNEY
Credential :
Telephone Number : 440-539-7745
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “BE GREATER YOUTH LLC ” Practice Location

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