Organization Active NPI

Providence House

  • Voluntary or Charitable Agency
  • Cleveland, OH
National Provider Identifier
1871029629
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PROVIDENCE HOUSE
Practice address
2050 W 32ND St
Cleveland, OH 44113-4018
Phone
(216) 651-5982
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Natalie Leek
Title
President and Ceo
Phone
(216) 651-5982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OH
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

2050 W 32ND St
Cleveland, OH 44113-4018

Mailing address

2050 W 32ND St
Cleveland, OH 44113-4018
Phone (216) 651-5982

Other practice location 1

2037 W 32nd St
Cleveland, OH 44113-4017
Phone (216) 651-5982

National Provider Directory

National Provider Directory

Locations

2037 W 32nd St
Cleveland, OH 44113
Phone (216) 651-5982

2050 W 32nd St
Cleveland, OH 44113
Phone (216) 651-5982

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1871029629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W 32ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134018",
            "telephone_number": "216-651-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W 32ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134018",
            "telephone_number": "216-651-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2037 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441134017",
            "country_code": "US",
            "telephone_number": "216-651-5982",
            "fax_number": "216-651-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "LEEK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "216-651-5982"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "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 Aug 17, 2022; 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.