CLEVELAND CHRISTIAN HOME (NPI# 1487922860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487922860 |
| Entity Type | Organization |
| Organization Name | CLEVELAND CHRISTIAN HOME |
| Practice Address |
11401 Lorain Ave Cleveland OH 44111-5428 |
| Mailing Address |
3146 Scranton Rd Cleveland OH 44109-1652 |
| Practice Telephone | 2166884129 |
| Practice Fax Number | 2169412080 |
| Mailing Telephone | 2166884129 |
| Mailing Fax Number | 2169412080 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MR. DAVID LUNDEEN (CEO) |
| Authorized Official Telephone | 2166710997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UPI | 10258 | 01 |
| OH | 2847209 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629121025 | Cleveland Christian Home | Community/Behavioral Health | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2007-01-19 |
| Street Address |
11401 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629121025 | Cleveland Christian Home | Community/Behavioral Health | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2007-01-19 |
| 1366937443 | Rosa White | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5476 | 2018-06-29 |
| 1548753734 | Kathleen Eustace | Counselor | 11401 Lorain Ave, Cleveland, OH 44111 | 2018-06-12 |
| 1811489495 | Charles John Tuttle I | Counselor | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2018-05-31 |
| 1043709256 | Marvin Paul | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2018-05-02 |
| 1164924163 | Samuel Vacha | Counselor | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2018-03-06 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1528572120 | Tandalaya Howard | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-11-20 |
| 1992217194 | Patricia Ann Lowman | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-10-27 |
| 1063930303 | Dianette Gilbert | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144433269 | Sommerville Young Adult Community LLC | Community Based Residential Treatment Facility, Mental Illness | 650 Anthony Rd, Cleveland, TX 77328-5497 | 2007-05-07 |
| 1366973414 | Frontline Service | Community Based Residential Treatment Facility, Mental Illness | 8315 Detroit Ave, Cleveland, OH 44102-1805 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613474 | Kimberly Sangare | Community Based Residential Treatment Facility, Mental Illness | 2302 Norwood Ave Apt 3, Cincinnati, OH 45212-2738 | 2020-03-03 |
| 1427618404 | Ian Edwards | Community Based Residential Treatment Facility, Mental Illness | 1345 Shela Blvd Apt 7, Portsmouth, OH 45662-8981 | 2019-06-20 |
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1003359936 | My Sisters House for Girls, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4540 Woolcut Ln, Toledo, OH 43615-7667 | 2016-11-26 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1962864348 | Kailey Bradley | Community Based Residential Treatment Facility, Mental Illness | 80 Samaritan Ave Apt 1, Ashland, OH 44805-3924 | 2016-03-24 |
| 1134540503 | The Village Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2014-01-02 |
| 1184943417 | Tender Mercies, Inc. | Community Based Residential Treatment Facility, Mental Illness | 27 W 12th St, Cincinnati, OH 45202-7205 | 2010-05-26 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.