Cleveland Christian Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CLEVELAND CHRISTIAN HOME

Practice address

11401 Lorain Ave
Cleveland, OH 44111-5428

Phone

(216) 688-4129

Fax

(216) 941-2080

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David Lundeen

Title

Ceo

Phone

(216) 671-0997

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Cleveland Christian Home2 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.

• Cleveland Christian Home

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1629121025
  NPD tax ID

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1487922860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 SCRANTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091652",
            "telephone_number": "216-688-4129",
            "fax_number": "216-941-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115428",
            "telephone_number": "216-688-4129",
            "fax_number": "216-941-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CHRISTIAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "LUNDEEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-671-0997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPI",
            "identifier": "10258",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847209",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Back & Pain Management Center Inc.
• Cleveland Biologicals Inc.
• Cleveland Breast Clinic
• Cleveland Center for Family Dentistry Inc
• Cleveland Center for Joint Reconstruction, Inc
• Cleveland Christian Home
• Cleveland Christian Hospice Care
• Cleveland Clinc
• Cleveland Clinic
• Cleveland Clinic

• Mental Illness Community Based Residential Treatment Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.