NPIMap

Organization Active NPI

Planned Lifetime Assistance Network of Northeast Ohio, Inc.

Doing business as PLAN of Northeast Ohio, Inc.

  • Voluntary or Charitable Agency
  • Cleveland, OH
National Provider Identifier
1871520767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PLANNED LIFETIME ASSISTANCE NETWORK OF NORTHEAST OHIO, INC.
Doing business as
PLAN of Northeast Ohio, Inc.
Practice address
2490 Lee Blvd.
#204
Cleveland, OH 44118-1269
Phone
(216) 321-3611
Fax
(213) 321-0021
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond T. Gonzalez, L.I.S.W.NPI 1083641567
Title
Executive Director
Phone
(216) 321-3611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

2490 Lee Blvd.
#204
Cleveland, OH 44118-1269

Mailing address

2490 Lee Blvd.
#204
Cleveland, OH 44118-1269
Phone (216) 321-3611

Other names 1

  • PLAN of Northeast Ohio, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Plan of NE Ohio Inc2 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.

Locations

2490 Lee Blvd
Ste 204
Cleveland Hts, OH 44118
Phone (801) 801-0018

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871520767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD.",
            "address_2": "#204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "216-321-3611",
            "fax_number": "213-321-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD.",
            "address_2": "#204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "216-321-3611",
            "fax_number": "213-321-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED LIFETIME ASSISTANCE NETWORK OF NORTHEAST OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-321-3611",
        "authorized_official_credential": "L.I.S.W."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAN of Northeast Ohio, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.