ELIZA JENNINGS SERVICES CORPORATION NPI 1598968570

NPI Information

NPI: 1598968570
Provider Name: ELIZA JENNINGS SERVICES CORPORATION

Doing Business As: ACACIA PLACE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
10603 DETROIT AVE
CLEVELAND, OH
ZIP 44102
Phone: (216) 226-6090
Get Directions

ELIZA JENNINGS SERVICES CORPORATION is an adult day care clinic center in Cleveland, OH. ELIZA JENNINGS SERVICES CORPORATION NPI is 1598968570. The provider is registered as an organization entity type.
The provider Is Doing Business As Acacia Place.

The provider's business location address is:

10603 DETROIT AVE
CLEVELAND, OH
ZIP 44102-647
Phone: (216) 226-6090

The provider's authorized official is Denise Gannon .
The authorized official title is Vp Of Clinical Support and has the following contact phone number (216) 226-5000.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.

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	261QA0600X	Clinic/Center	Adult Day Care			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	2623610	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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