NPIMap

Organization Active NPI

Cleveland Urban Minority Alcoholism Drug Abuse Outreach Project

  • Case Management Agency
  • Cleveland, OH
National Provider Identifier
1396117255
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CLEVELAND URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROJECT
Practice address
1226 E 79TH St
Cleveland, OH 44103-2256
Phone
(216) 361-1503
Fax
(216) 361-1856
NPI assigned
Oct 30, 2015
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Ms. Jessica Horne
Title
Executive Director
Phone
(216) 361-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1226 E 79TH St
Cleveland, OH 44103-2256

Mailing address

1215 E 79TH St
Cleveland, OH 44103-2255
Phone (216) 361-2040

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Umadaop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1226 E 79th St
Cleveland, OH 44103
Phone (216) 361-1503

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1396117255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E 79TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032255",
            "telephone_number": "216-361-2040",
            "fax_number": "216-361-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 E 79TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032256",
            "telephone_number": "216-361-1503",
            "fax_number": "216-361-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-361-2040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "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 Oct 30, 2015; 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.