Back to Basics Youth and Family Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BACK TO BASICS YOUTH AND FAMILY FOUNDATION

Practice address

3301 Archmere Ave
Cleveland, OH 44109-5400

Phone

(216) 346-8608

Fax

(216) 273-7974

NPI assigned

Aug 10, 2026

Organization subpart

No

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

Authorized official

Name

Angela V Sampson, MS.MSW.MA.LICDC. PRS

Title

Executive Director

Phone

(216) 346-8608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1093639296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 ARCHMERE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095400",
            "telephone_number": "216-346-8608",
            "fax_number": "216-273-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ARCHMERE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095400",
            "telephone_number": "216-346-8608",
            "fax_number": "216-273-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS YOUTH AND FAMILY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-346-8608",
        "authorized_official_credential": "MS.MSW.MA.LICDC. PRS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bachelor, HAS
• Kristina Bachman, RBT
• Nicholas Kenneth Bachofsky, PCC-S
• Back 2 Business Behavioral Health Services LLC
• Back to Basics Treatment LLC
• Theresa Ann Backman, APRN, BC
• Bradley Brennan Backoff, D.P.M
• Elizabeth A Bacon, LISW
• Emily Randolph Bacon
• Tanisha Brianna Bacon

• Community/Behavioral Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.