1144825969 NPI number — CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

Table of content: (NPI 1144825969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144825969 NPI number — CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUYAHOGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144825969
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1275 LAKESIDE AVE., E.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-241-8230
Provider Business Mailing Address Fax Number:
216-861-0253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1275 LAKESIDE AVE., E.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-241-8230
Provider Business Practice Location Address Fax Number:
216-861-0253
Provider Enumeration Date:
12/01/2020

Additional Information

Authorized Official

Authorized Official Last Name:
PETTY
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
216-736-2731

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1800019 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com