NPIMap

Organization Active NPI

Care Alliance

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
National Provider Identifier
1497922520
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
847979 Issued in OH
Legal business name
CARE ALLIANCE
Practice address
1795 W 25TH St
Cleveland, OH 44113-3112
Phone
(216) 619-5571
Fax
(216) 619-5574
NPI assigned
May 8, 2008
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Francis Afram-Gyening, FACHE
Title
Chief Executive Officer
Phone
(216) 781-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 847979 OH Primary

Addresses

Primary practice location

1795 W 25TH St
Cleveland, OH 44113-3112

Mailing address

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone (216) 781-6228

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040908000875 OH Part A Provider - Federally Qualified Health Center (FQHC) 8527034818 Practice locations: Cleveland, OH
O20140521001309 OH Part B Supplier - Clinic/Group Practice 8527034818 Receives reassigned benefits from 33 practitioners
4 other NPIs on this enrollment
Practice locations: Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497922520. Details of each certification follow.

Federally qualified health center certification: CCN 361863

Legal name
CARE ALLIANCE
Doing business as
CARE ALLIANCE HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 2, 1996
Last certification
Jan 2, 1996
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1993 in OH
Enrollment address
1530 Saint Clair Ave NE
Cleveland, OH 44114-2004

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jennifer Demmerle Individual Corporate DirectorBoard Treasurer Nov 1, 2023
Jacklyn Chisholm Individual Corporate DirectorBoard Member Nov 1, 2025
Darrick McDaniel Individual Corporate DirectorBoard Member Nov 1, 2025
Cynthia Moore-Hardy Individual Corporate DirectorBoard Member Nov 1, 2022
Luther Walls Individual Corporate OfficerChief Medical Officer Feb 3, 2025
Jareed Robinson Individual Corporate DirectorBoard Member Nov 1, 2022
Renee Richard Individual Corporate DirectorBoard Chair Nov 1, 2022
Bilal Akram Individual Corporate DirectorBoard Member Nov 1, 2022
Derrick Howell Individual Corporate Officer Dec 9, 2024
W-2 Managing EmployeeChief Financial Officer Dec 9, 2024
Lissette Rivera Individual Corporate DirectorBoard Member Nov 1, 2023
Chineze Enwonwu Individual Corporate OfficerChief Dental Officer Jan 4, 2016
Kenneth Griffin Individual Corporate OfficerChief Executive Officer Dec 9, 2024
W-2 Managing EmployeeChief Executive Officer Dec 9, 2024
Evelyn Burnett Individual Corporate DirectorBoard Member Nov 1, 2025
Michael Cleveland Individual Corporate OfficerChief Operating Officer Jan 6, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Care Alliance Health CenterCleveland, OH, CCN 361894 Federally qualified health center Operational/Managerial Control Jan 22, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Care Alliance
    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1083881114

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1497922520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 SAINT CLAIR AVE NE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142004",
            "telephone_number": "216-781-6228",
            "fax_number": "216-781-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133112",
            "telephone_number": "216-619-5571",
            "fax_number": "216-619-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "AFRAM-GYENING",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "216-781-6228",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": "847979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.