YOUR SECOND FAMILY NPI 1417405341

NPI Information

NPI: 1417405341
Provider Name: YOUR SECOND FAMILY
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4901 MEMPHIS AVE
CLEVELAND, OH
ZIP 44144
Phone: (216) 820-0718
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YOUR SECOND FAMILY is an adult day care clinic center in Cleveland, OH. YOUR SECOND FAMILY NPI is 1417405341. The provider is registered as an organization entity type.

The provider's business location address is:

4901 MEMPHIS AVE
CLEVELAND, OH
ZIP 44144-943
Phone: (216) 820-0718

The provider's authorized official is Christine Albert .
The authorized official title is Office and has the following contact phone number (216) 385-5362.

The enumeration date for this NPI number is 9/20/2016 and was last updated on 9/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care		0146044	OHIO	No
2	261QA0600X	Clinic/Center	Adult Day Care	0146044	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0146044	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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