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MARYMAC CHILD DEVELOPMENT
NPI 1366128100
Licensed Practical Nurse in Warrensville Heights, OH

Active since June 26, 2023
3996 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122(216) 466-0215 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Marymac Child Development NPPES

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

MARYMAC CHILD DEVELOPMENT (NPI 1366128100) is a healthcare organization registered as a licensed practical nurse in Warrensville Heights, Ohio and active in the NPI registry since June 2023. The organization lists Monique Decluett, Lpn, as its authorized official.

NPPES Registry Identity

NPI1366128100
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameMARYMAC CHILD DEVELOPMENT
Location Address3996 WARRENSVILLE CENTER RDWarrensville Heights, OH 44122-6703
Mailing Address3996 Warrensville Center RdWarrensville Heights, OH 44122-6703 · (216) 466-0215
Phone(216) 466-0215
Organization SubpartNo
Authorized OfficialMonique DecluettLpn · (216) 296-1240
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1366128100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3996 WARRENSVILLE CENTER RD, Warrensville Heights, OH 44122
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Other Names 1

Doing Business AsMarymac Child Development

Other Identifiers 1

Medicaid1962197871OH

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 2

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

DR. PAUL LOUIS MEHES JR. D.D.S.
Dentist (General Practice)
3996 WARRENSVILLE CENTER RD
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 283-0090
TANYA N ANDERSON RN
Registered Nurse
3996 WARRENSVILLE CENTER RD
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County No phone listed

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 Marymac Child Development's NPI number?

The NPI number for Marymac Child Development is 1366128100. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Marymac Child Development located?

Marymac Child Development is located at 3996 Warrensville Center Rd, Warrensville Heights, OH 44122. The listed phone number is (216) 466-0215.

What is Marymac Child Development's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marymac Child Development was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.