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Export Provider Record NPI 1023641867
Dedicated Ohio Holding, Llc
Organization Subpart: YES
Active
NPI Number1023641867
NPI TypeNPI-2 Organization
SpecialtyNon-Pharmacy Dispensing Site
Provider Details
NPI1023641867
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-02-20
Last Updated2020-06-16
Authorized OfficialMary Chen
owner
Phone: 3056286117
Mailing Address1395 Nw 167th St
Miami, FL 33169-5710
United States
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Primary Practice Address15105 Saint Clair Ave
Cleveland, OH 44110-3719
United States
Phone: (216) 800-8020
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes332900000X – Non-Pharmacy Dispensing Site--
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About NPI 1023641867

Dedicated Ohio Holding, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1023641867. The primary specialty listed is Non-Pharmacy Dispensing Site. The organization is located in Cleveland, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-02-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1023641867?

NPI 1023641867 belongs to Dedicated Ohio Holding, Llc, a Non-Pharmacy Dispensing Site in Cleveland, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1023641867 active?

The current status of NPI 1023641867 in the NPPES registry is Active. The record was last updated on 2020-06-16.

What specialty is NPI 1023641867?

NPI 1023641867 is classified under the taxonomy Non-Pharmacy Dispensing Site. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1023641867?

You can verify NPI 1023641867 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1023641867?

The primary practice address on file for NPI 1023641867 is 15105 Saint Clair Ave, Cleveland, OH 44110-3719. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1023641867 issued?

NPI 1023641867 was first issued (enumerated) on 2020-02-20. The NPPES record was last updated on 2020-06-16.

Practice Location Map

Dedicated Ohio Holding, Llc is located at 15105 Saint Clair Ave, Cleveland, OH. Use the map below to find directions or verify the practice location.

📍 15105 Saint Clair Ave, Cleveland, OH 44110-3719  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Dedicated Ohio Holding, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162