Provider Demographics
NPI:1376130781
Name:HIRE HEIGHTS ADULT DAY CENTER, LLC
Entity Type:Organization
Organization Name:HIRE HEIGHTS ADULT DAY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, LPC
Authorized Official - Phone:216-854-2668
Mailing Address - Street 1:4630 RICHMOND RD STE 180
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5954
Mailing Address - Country:US
Mailing Address - Phone:216-854-2668
Mailing Address - Fax:
Practice Address - Street 1:4630 RICHMOND RD STE 180
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5954
Practice Address - Country:US
Practice Address - Phone:216-854-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services