WESTERN RESERVE RECOVERY CLINIC LLC
NPI 1174304349
Nurse Practitioner - Adult Health in Cleveland, OH

Q: What is Western Reserve Recovery Clinic LLC's NPI number?

The NPI number for Western Reserve Recovery Clinic LLC is 1174304349. It was assigned to this organization in the NPPES registry on October 12, 2023.

Q: What is Western Reserve Recovery Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since October 12, 2023

15803 FERNWAY AVE, CLEVELAND, OH 44111(216) 299-3874 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Oct 12, 2023 (2 updates tracked since 2023).

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About Western Reserve Recovery Clinic Llc NPPES

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

WESTERN RESERVE RECOVERY CLINIC LLC (NPI 1174304349) is a healthcare organization registered as an adult health in Cleveland, Ohio and active in the NPI registry since October 2023. The organization lists Robert A Gildone Jr, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174304349

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameWESTERN RESERVE RECOVERY CLINIC LLC

Location Address15803 FERNWAY AVECleveland, OH 44111-1051

Mailing Address15803 Fernway AveCleveland, OH 44111-1051 · (216) 299-3874

Phone(216) 299-3874

Organization SubpartNo

Authorized OfficialRobert A Gildone JrCeo · (216) 299-3874

Enumeration DateOctober 12, 2023

Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1174304349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

15803 FERNWAY AVE, Cleveland, OH 44111

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTERN RESERVE RECOVERY CLINIC LLC

Nurse Practitioner (Adult Health)

15803 FERNWAY AVE
CLEVELAND, OH 44111

Cuyahoga County (216) 299-3874

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 Western Reserve Recovery Clinic LLC's NPI number?

The NPI number for Western Reserve Recovery Clinic LLC is 1174304349. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Western Reserve Recovery Clinic LLC located?

Western Reserve Recovery Clinic LLC is located at 15803 Fernway Ave, Cleveland, OH 44111. The listed phone number is (216) 299-3874.

What is Western Reserve Recovery Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Western Reserve Recovery Clinic LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.