Active NPI
Eye for Change Youth & Family Services, Inc.
- Community/Behavioral Health Agency
- Cleveland, OH
National Provider Identifier
1780136275
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.
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Cleveland, OH
- NPI 1346801511
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1740724624
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.