Organization Active NPI

Citizens Leadership Academy East

  • Local Education Agency (LEA)
  • Cleveland, OH
National Provider Identifier
1093283574
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITIZENS LEADERSHIP ACADEMY EAST
Practice address
12523 Woodside Ave
Cleveland, OH 44108-2422
Phone
(216) 456-2086
NPI assigned
Nov 2, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Tipper
Title
Accountant
Phone
(216) 456-2086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

12523 Woodside Ave
Cleveland, OH 44108-2422

Mailing address

12523 Woodside Ave
Cleveland, OH 44108-2422
Phone (216) 456-2086

Other identifiers 1

IdentifierTypeStateIssuer
01MedicaidOH

National Provider Directory

National Provider Directory

Locations

12523 Woodside Ave
Cleveland, OH 44108
Phone (216) 367-9392

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1093283574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 WOODSIDE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082422",
            "telephone_number": "216-456-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 WOODSIDE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082422",
            "telephone_number": "216-456-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS LEADERSHIP ACADEMY EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "TIPPER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "216-456-2086"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.