RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION – Multi-Specialty Clinic/Center, NPI 1114639861

RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION is a healthcare provider. based in Cleveland, Ohio. specializing in Multi-Specialty Clinic/Center. The NPI Number for RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION is 1114639861

Main info

Organization
Name
RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION
NPI
1114639861
Phone
(216) 677-4342
Address
125 E 156th St
Authorized Official
DR. WILLIAM ADRIAN BLACKWELL OWNER MD
Enumeration Date
14 December 2022
Last Update Date
15 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION

  • 125 E 156th St

    Cleveland, OH 441101182

    Phone: (216) 677-4342

    Fax: (866) 611-2650

    Type: Location

  • 25900 Euclid Ave

    Euclid, OH 441322744

    Phone: (216) 677-4342

    Fax: (866) 611-2650

    Type: Location

  • 100 Richmond Rd

    Cleveland, OH 441431223

    Phone: (216) 677-4342

    Fax: (866) 611-2650

    Type: Location

  • PO BOX 32028

    EUCLID, OH 441320028

    Phone: (216) 200-6552

    Fax: (866) 611-2650

    Type: Mailing

  • 2020 TAYLOR RD

    CLEVELAND, OH 441122963

    Phone: (216) 200-6552

    Fax: (866) 611-2650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230516001419OClinic/Group PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44110)

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Reviews

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Frequently asked questions

Is there an official ID for RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION in U.S. healthcare records?
The official identifier for RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION is NPI 1114639861.
Would RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION appear as active to a payer?
You can treat RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION's focus?
For RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION, the primary taxonomy reads as Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Is RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION located near Cleveland?
RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION currently maps to Cleveland, Ohio in this extract.
When was this NPI issued?
Enumeration for RESIHEALTH OF OHIO, PROFESSIONAL CORPORATION is noted as December 14, 2022 where the registry provides it.

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