Provider Demographics
NPI:1497939599
Name:DAYEM HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DAYEM HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-663-1203
Mailing Address - Street 1:12000 MCCRACKEN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2964
Mailing Address - Country:US
Mailing Address - Phone:216-663-1203
Mailing Address - Fax:216-663-5641
Practice Address - Street 1:12000 MCCRACKEN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2964
Practice Address - Country:US
Practice Address - Phone:216-663-1203
Practice Address - Fax:216-663-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2818651Medicaid
OHDH0563Medicare PIN
OH2818651Medicaid