OrganizationActive
Advanced Care Group LLC
NPI 1164210340 · Developmental Disabilities Clinic/Center · South Euclid, OH
Provider details
- NPI number
- 1164210340
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abdikani Hassan, President(404) 425-0122
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14077 Cedar Rd Ste 102
South Euclid, OH 44118-3332
Phone: (404) 425-0122
Street-level locationGet directions
Mailing address
12734 Hampton Club Dr Apt 104
North Royalton, OH 44133-7436
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.