Organization Active NPI

Nueva Luz Urban Resource Center

  • Case Management Agency
  • Cleveland, OH
National Provider Identifier
1255877247
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NUEVA LUZ URBAN RESOURCE CENTER
Practice address
2226 W 89TH St
Cleveland, OH 44102-3863
Phone
(216) 651-8236
Fax
(216) 651-8235
NPI assigned
Jan 13, 2017
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mr. Max M Rodas, MA
Title
Executive Director
Phone
(216) 857-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

2226 W 89TH St
Cleveland, OH 44102-3863

Mailing address

2226 W 89TH St
Cleveland, OH 44102-3863
Phone (216) 651-8236

National Provider Directory

National Provider Directory

Locations

2226 W 89th St
Cleveland, OH 44102
Phone (216) 651-8236

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1255877247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 W 89TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023863",
            "telephone_number": "216-651-8236",
            "fax_number": "216-651-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 W 89TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023863",
            "telephone_number": "216-651-8236",
            "fax_number": "216-651-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA LUZ URBAN RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-857-0558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2017; 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.