Provider Demographics
NPI:1871240929
Name:NYCE OPTIONS LLC
Entity Type:Organization
Organization Name:NYCE OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-309-8883
Mailing Address - Street 1:2176 FENWICK RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HT
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3116
Mailing Address - Country:US
Mailing Address - Phone:419-309-8883
Mailing Address - Fax:
Practice Address - Street 1:2176 FENWICK RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HT
Practice Address - State:OH
Practice Address - Zip Code:44118-3116
Practice Address - Country:US
Practice Address - Phone:216-273-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services