RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION
NPI 1114639861
Clinic/Center - Multi-Specialty in Cleveland, OH

Active since December 14, 2022CLIA Certified · 5 labs
2020 TAYLOR RD, CLEVELAND, OH 44112(216) 200-6552(866) 611-2650 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2025, May 19, 2025, May 2, 2023 and 1 more (4 updates tracked since 2022).

About Resihealth Of Ohio, Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION (NPI 1114639861) is a healthcare organization registered as a multi-specialty in Cleveland, Ohio and active in the NPI registry since December 2022. The organization holds 5 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists William Adrian Blackwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1114639861
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRESIHEALTH OF OHIO, PROFESSIONAL CORPORATION
Location Address2020 TAYLOR RDCleveland, OH 44112-2963
Mailing AddressPo Box 32028Euclid, OH 44132-0028 · (216) 200-6552 · Fax (866) 611-2650
Fax(866) 611-2650
Organization SubpartNo
Authorized OfficialWilliam Adrian BlackwellOwner · (216) 200-6552
Enumeration DateDecember 14, 2022
Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1114639861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2020 TAYLOR RD, Cleveland, OH 44112

Secondary Practice Locations 3

Location 1125 E 156th StCleveland, OH 44110-1182 · Phone (216) 677-4342 · Fax (866) 611-2650
Location 225900 Euclid AveEuclid, OH 44132-2744 · Phone (216) 677-4342 · Fax (866) 611-2650
Location 3100 Richmond RdCleveland, OH 44143-1223 · Phone (216) 677-4342 · Fax (866) 611-2650

Other Identifiers 1

Medicaid0006476OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Resihealth Of Ohio, Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Resihealth Of Ohio, Professional Corporation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1114227931
2020 TAYLOR RD
Cleveland, OH 44112
(216) 200-6552
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073056172
2020 TAYLOR RD
Cleveland, OH 44112
(216) 200-6552
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821229378
2020 TAYLOR RD
Cleveland, OH 44112
(216) 200-6552
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265936850
2020 TAYLOR RD
Cleveland, OH 44112
(216) 200-6552
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1679554877
27900 EUCLID AVE
Euclid, OH 44132
(216) 731-7110
✔ PECOS5.9 mi
Nurse Practitioner
NPI 1215288360
3700 PARK EAST DR STE 450
Beachwood, OH 44122
(866) 849-0692
✔ PECOS6.5 mi
Nurse Practitioner
NPI 1134307838
2560 W. 6 STREET
Cleveland, OH 44113
(216) 254-4196
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2310162

Resihealth Of Ohio, PC · Cleveland, OH
Active · expires Aug 27, 2028
CLIA Number36D2310162
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2026
Certificate Expiration DateAugust 27, 2028
Laboratory DirectorDr. Andrew K. Brobbey
Laboratory Phone(216) 200-6552
Laboratory LocationResihealth Of Ohio, PC125 E 156th St, Cleveland, OH 44110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2301873

Resihealth Of Ohio, PC · Cleveland, OH
Active · expires Apr 1, 2028
CLIA Number36D2301873
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAndrew K. Brobbey
Laboratory Phone(216) 200-6552
Laboratory LocationResihealth Of Ohio, PC2020 Taylor Rd, Cleveland, OH 44112
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2327652

Resihealth Of Ohio, PC · Cleveland, OH
Active · expires Jul 27, 2027
CLIA Number36D2327652
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAndrew K. Brobbey
Laboratory Phone(216) 677-9534
Laboratory LocationResihealth Of Ohio, PC100 Richmond Road, Cleveland, OH 44143
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2327654

Resihealth Of Ohio, PC · Euclid, OH
Active · expires Jul 27, 2027
CLIA Number36D2327654
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAndrew K. Brobbey
Laboratory Phone(216) 667-1938
Laboratory LocationResihealth Of Ohio, PC25900 Euclid Avenue, Euclid, OH 44132
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2327655

Resihealth Of Ohio, PC · Cleveland, OH
Active · expires Jul 27, 2027
CLIA Number36D2327655
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAndrew K. Brobbey
Laboratory Phone(216) 677-9534
Laboratory LocationResihealth Of Ohio, PC2020 Taylor Road, Cleveland, OH 44112
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Resihealth Of Ohio, Professional Corporation's NPI number?

The NPI number for Resihealth Of Ohio, Professional Corporation is 1114639861. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Resihealth Of Ohio, Professional Corporation located?

Resihealth Of Ohio, Professional Corporation is located at 2020 Taylor Rd, Cleveland, OH 44112. The listed phone number is (216) 200-6552.

What is Resihealth Of Ohio, Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Resihealth Of Ohio, Professional Corporation enrolled in Medicare?

Yes. Resihealth Of Ohio, Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Resihealth Of Ohio, Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Resihealth Of Ohio, Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Resihealth Of Ohio, Professional Corporation hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Resihealth Of Ohio, Professional Corporation accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Resihealth Of Ohio, Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Resihealth Of Ohio, Professional Corporation was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.