INNER CITY LIVING INC (NPI# 1720278112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720278112 |
| Entity Type | Organization |
| Organization Name | INNER CITY LIVING INC |
| Practice Address |
4317 State Rd Cleveland OH 44109-4157 |
| Practice Telephone | 2162884997 |
| Practice Fax Number | 2164599060 |
| Mailing Telephone | 2162884997 |
| Mailing Fax Number | 2164599060 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | LANIECE DAVIS (C.E.O) |
| Authorized Official Telephone | 2162884997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | 2711775 | OH | Agencies |
| Y | 347C00000X | Private Vehicle | 2711775 | OH | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2711775 | 05 | |
| OH | M1808388 | 05 |
| Street Address |
4317 STATE RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373423 | Monique Aurtrell Crowder | Private Vehicle | 6503 Marsol Rd Apt 542, Cleveland, OH 44124-3506 | 2020-10-14 |
| 1801402854 | Marvella Frazier | Private Vehicle | 5706 White Ave, Cleveland, OH 44103-3028 | 2020-09-16 |
| 1265071716 | Carol A Strong | Private Vehicle | 11903 Ablewhite Ave Fl 1, Cleveland, OH 44108-1511 | 2020-01-02 |
| 1649825225 | Stephanie Jones | Private Vehicle | 3742 W 139th St, Cleveland, OH 44111-4460 | 2019-08-09 |
| 1033674494 | Timothy Wayne Boyd | Private Vehicle | 1007 New Garden Rd, Cleveland, VA 24225-6340 | 2019-02-08 |
| 1770031296 | Salvador Font Jr. | Private Vehicle | 3614 Stickney Ave, Cleveland, OH 44109-5065 | 2016-09-13 |
| 1295077915 | Speedy Wheels Transportation | Private Vehicle | 3857 E 155th St, Cleveland, OH 44128-1256 | 2013-03-20 |
| 1386881415 | Michelle Latimore | Private Vehicle | 11804 Fairport Ave, Cleveland, OH 44108-3116 | 2009-01-12 |
| 1720254329 | Double L Transportation LLC | Private Vehicle | 451 E 142nd St, Cleveland, OH 44110-1901 | 2008-05-02 |
| 1861019259 | The Journey Ahead Home Health Care Agency | Private Vehicle | 17325 Euclid Ave, Cleveland, OH 44112-1247 | 2020-07-01 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on INNER CITY LIVING INC.
| 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.