FUNDAMENTALS FIRST BASKETBALL ACADEMY , LLC (NPI# 1407475080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407475080 |
| Entity Type | Organization |
| Organization Name | FUNDAMENTALS FIRST BASKETBALL ACADEMY , LLC |
| Practice Address |
977 Eddy Rd. Cleveland OH 44108 |
| Practice Telephone | 2162691535 |
| Mailing Telephone | 2162691535 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | WESLEY FLUELLEN SR. (CEO) |
| Authorized Official Telephone | 2162691535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
977 EDDY RD. |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
| 1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
| 1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
| 1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
| 1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
| 1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
| 1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
| 1609296284 | Mitchell Moisio | Psychologist | 800 Linn Dr., Fdr, Cleveland Municipal School District, Cleveland, OH 44108 | 2014-04-22 |
| Find all providers in zip 44108 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669504080 | Barrie G. Galvin, Otr L & Associates, Ltd | Early Intervention Provider Agency | 25221 Miles Rd, Suite F, Cleveland, OH 44128-5474 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724697 | Alliance for Healthy Youth | Early Intervention Provider Agency | 1815 W Market St Ste 107, Akron, OH 44313-7018 | 2020-06-09 |
| 1154956076 | Wellness Center for All | Early Intervention Provider Agency | 5442 Hayden Station Way Apt 136, Dublin, OH 43016-7562 | 2020-03-11 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1417499658 | Wings of Change Therapy, Inc. | Early Intervention Provider Agency | 909 Northampton St Ne, Hartville, OH 44632-8897 | 2016-11-04 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| 1275934606 | Tara Quinn | Early Intervention Provider Agency | 484 Woodbine Cir, Mayfield Village, OH 44143-1525 | 2014-09-04 |
| 1891119509 | London City Schools | Early Intervention Provider Agency | 380 Elm Street, London, OH 43140 | 2014-02-17 |
| 1487078705 | Latoya Marie Henderson | Early Intervention Provider Agency | 2430 22nd St Ne, Canton, OH 44705-2414 | 2014-02-06 |
| 1760828750 | B-i-i-o, Ltd | Early Intervention Provider Agency | 3042 Mckinley Ave, Columbus, OH 43204-3653 | 2013-05-16 |
| 1851635510 | Pedapy LLC | Early Intervention Provider Agency | 2163 Wesleyan Dr, Columbus, OH 43221-1829 | 2012-11-19 |
| Find all providers with the same taxonomy | ||||
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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.