Cleveland Christian Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLEVELAND CHRISTIAN HOME

Practice address

11401 Lorain Ave
Cleveland, OH 44111-5428

Phone

(216) 671-0799

NPI assigned

Jan 19, 2007

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mike J Krafcik, CPA

Title

Cfo

Phone

(216) 688-4130

Specialties & licenses 1

Addresses

Other identifiers 1

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

  • Mental Illness Community Based Residential Treatment Facility
  • Cleveland, OH
  • NPI 1487922860
  NPD tax ID

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1629121025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115428",
            "telephone_number": "216-671-0799"
        },
        {
            "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": "216-671-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CHRISTIAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "KRAFCIK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-688-4130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPI",
            "identifier": "10258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Cleveland Clinic

• Community/Behavioral Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.