ANNETTE JOHNSON-RUCKER
NPI 1558075242
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cleveland, OH
About Annette Johnson-rucker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNETTE JOHNSON-RUCKER (NPI 1558075242) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Cleveland, Ohio and active in the NPI registry since January 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Annette Johnson-rucker's NPI number?
The NPI number for Annette Johnson-rucker is 1558075242. It was assigned to this individual provider in the NPPES registry on January 9, 2023.
Where is Annette Johnson-rucker located?
Annette Johnson-rucker practices at 3294 E 104th St, Cleveland, OH 44104. The listed phone number is (216) 322-3006.
What is Annette Johnson-rucker's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Annette Johnson-rucker was last updated on January 9, 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.
# Annette Johnson-Rucker · NPI 1558075242
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since January 9, 2023.
## Identity
- **NPI:** 1558075242 (Entity type: Individual)
- **Enumerated:** January 9, 2023
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3294 E 104TH ST, Cleveland, OH 44104-5646
- **Phone:** (216) 322-3006
## Record status
- **NPPES last updated:** January 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558075242) · Data from the CMS NPPES public registry.