EASTSIDE CATHOLIC CENTER & SHELTER (NPI# 1104927417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104927417 |
| Entity Type | Organization |
| Organization Name | EASTSIDE CATHOLIC CENTER & SHELTER |
| Practice Address |
11701 Shaker Blvd Cleveland OH 44120-1956 |
| Mailing Address |
Po Box 20177 Cleveland OH 44120-0177 |
| Practice Telephone | 2162315556 |
| Practice Fax Number | 2162313993 |
| Mailing Telephone | 2162315556 |
| Mailing Fax Number | 2162313993 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MICHELLE BURLEY-KEYS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2162315556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740373992 | Eastside Catholic Center & Shelter | Substance Abuse Rehabilitation Facility | 13211 Chapelside Ave, Cleveland, OH 44120-4605 | 2006-10-02 |
| Street Address |
11701 SHAKER BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728902 | Miklat Recovery | Substance Abuse Rehabilitation Facility | 2490 Lee Blvd Ste 319, Cleveland, OH 44118-1271 | 2018-11-02 |
| 1790095297 | A New Beginning Sober Living | Substance Abuse Rehabilitation Facility | 11402 Avon Ave, Cleveland, OH 44105-4304 | 2010-10-18 |
| 1497871719 | Community Assessment and Treatment Services, Inc | Substance Abuse Rehabilitation Facility | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2007-03-21 |
| 1477623981 | Fresh Start, Inc. | Substance Abuse Rehabilitation Facility | 4807 Cedar Ave, Cleveland, OH 44103-4437 | 2006-11-09 |
| 1851470603 | Orca House | Substance Abuse Rehabilitation Facility | 1909 E 89th St, Cleveland, OH 44106-2007 | 2006-11-03 |
| 1407931314 | Orca House, Inc | Substance Abuse Rehabilitation Facility | 1914 E 90th St, Cleveland, OH 44106-2082 | 2006-10-26 |
| 1144302795 | Orca House, Inc. | Substance Abuse Rehabilitation Facility | 1905 E 89th St, Cleveland, OH 44106-2007 | 2006-10-20 |
| 1740373992 | Eastside Catholic Center & Shelter | Substance Abuse Rehabilitation Facility | 13211 Chapelside Ave, Cleveland, OH 44120-4605 | 2006-10-02 |
| 1447342696 | Hispanic Urban Minority Alcoholism and Drug Abuse Outreach Program, In | Substance Abuse Rehabilitation Facility | 2202 Prame Avenue, Cleveland, OH 44109-1613 | 2006-09-28 |
| 1346331501 | East Side Catholic Center & Shelter | Substance Abuse Rehabilitation Facility | 4500 Kennard Ct, Cleveland, OH 44104-1321 | 2006-09-27 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.