Organization Active NPI

Friends for Life Rehabilitation Services

  • Developmentally Disabled Services Day Training Agency
  • Cleveland, OH
National Provider Identifier
1295463453
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FRIENDS FOR LIFE REHABILITATION SERVICES
Practice address
2908 Euclid Ave
Cleveland, OH 44115-2416
Phone
(216) 600-9181
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Omar Kurdi
Title
Ceo
Phone
(216) 600-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2908 Euclid Ave
Cleveland, OH 44115-2416

Mailing address

2908 Euclid Ave
Cleveland, OH 44115-2416

Other identifiers 1

IdentifierTypeStateIssuer
1824646MedicaidOH

Other names 1

  • Friends For Life Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

2908 Euclid Ave
Cleveland, OH 44115
Phone (216) 600-9181

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1295463453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152416",
            "telephone_number": "216-600-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS FOR LIFE REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "KURDI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-600-9181"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1824646",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friends For Life Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2022; 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.