NPIMap

Organization Active NPI

Asian Services in Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
National Provider Identifier
1386286011
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASIAN SERVICES IN ACTION, INC
Practice address
2999 Payne Ave, Ste 140
Cleveland, OH 44114
Phone
(216) 361-1223
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Elaine Tso
Title
Co-Ceo
Phone
(330) 535-3263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2999 Payne Ave, Ste 140
Cleveland, OH 44114

Mailing address

370 E Market St
Akron, OH 44304-1526
Phone (330) 535-3263

Other names 1

  • International Community Health Center- Cleveland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200310001708 OH Part A Provider - Federally Qualified Health Center (FQHC) 2961639091 Practice locations: Cleveland, OH
O20241204002827 OH Part B Supplier - Clinic/Group Practice 2961639091 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Akron, OH; Cleveland, OH

Federally qualified health center certification: CCN 721847

Legal name
ASIAN SERVICES IN ACTION INC
Doing business as
INTERNATIONAL COMMUNITY HEALTH CENTER- CLEVELAND
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 3, 2020
Last certification
Mar 3, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 17, 1995 in OH
Enrollment address
2999 Payne Ave
Ste 140
Cleveland, OH 44114-4436

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian Services in Action Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

468 E Market St
Ste C
Akron, OH 44304
Phone (234) 312-3607

370 E Market St
Akron, OH 44304
Phone (234) 312-3607

2999 Payne Ave
Ste 140
Cleveland, OH 44114
Phone (216) 361-1223

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marguerite Erme Individual Corporate DirectorBoard Member Jul 28, 2018
William Coleman Individual Corporate OfficerSecretary Jan 27, 2024
Brant Lee Individual Corporate OfficerPresident Jul 1, 2024
Corporate DirectorBoard Member Mar 1, 1998
Earl Pike Individual Corporate DirectorBoard Member Sep 28, 2019
Harry Nautam Kamdar Individual Corporate OfficerCeo Oct 21, 2024
W-2 Managing EmployeeCeo Oct 21, 2024
Yen Luong Individual Corporate OfficerSecretary Dec 1, 2008
Corporate DirectorBoard Member Jul 1, 2024
Robert Smith Individual Corporate DirectorBoard Member Mar 1, 2015
Tamara Mora Individual Corporate DirectorBoard Member May 22, 2021
Henry Johnson Individual Corporate DirectorBoard Member Jul 20, 2022
Darnell Tucker Individual Corporate DirectorBoard Member Jul 27, 2024
Wilson Wong Individual Corporate DirectorBoard Treasurer Apr 1, 2015
Amy Lee Individual Corporate Director Nov 16, 2018

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1386286011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041526",
            "telephone_number": "330-535-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 PAYNE AVE, STE 140",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-361-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN SERVICES IN ACTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "TSO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "330-535-3263"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Community Health Center- Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.