Organization Active NPI

Eye for Change Youth & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1780136275
Registry record updated May 22, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 18, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EYE FOR CHANGE YOUTH & FAMILY SERVICES, INC.
Practice address
3100 E 45TH St
Suite 314
Cleveland, OH 44127
Phone
(216) 441-9622
Fax
(888) 460-7417
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Mr. Alfonzo D Bailey, MPA
Title
Executive Director
Phone
(216) 441-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3100 E 45TH St
Suite 314
Cleveland, OH 44127

Mailing address

3100 E 45TH St
Suite 314
Cleveland, OH 44127-1088
Phone (216) 441-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Eye for Change Youth Family Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3100 E 45th St
Ste 314
Cleveland, OH 44127
Phone (216) 441-9622

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1780136275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST",
            "address_2": "SUITE 314",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271088",
            "telephone_number": "216-441-9622",
            "fax_number": "888-460-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST",
            "address_2": "SUITE 314",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44127",
            "telephone_number": "216-441-9622",
            "fax_number": "888-460-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE FOR CHANGE YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ALFONZO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-441-9622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.