COLLABORATION STATION (NPI# 1790227155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790227155 |
| Entity Type | Organization |
| Organization Name | COLLABORATION STATION |
| Practice Address |
4614 Prospect Ave Ste 325 Cleveland OH 44103-4377 |
| Mailing Address |
4614 Prospect Ave Suite 325 Cleveland OH 44103-4394 |
| Practice Telephone | 2167772136 |
| Mailing Telephone | (216) 777-2136 |
| Mailing Fax Number | 8883803849 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MISS CHERYL J SMITH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2167772136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 1310918 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0163026 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3619 Walton Ave, Cleveland, OH 441134949 | 2167772136 | 8883803849 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COLLABORATION STATION INCORPORATED | 3617 Wadena Street, Seaford, Ny 11783 |
| Washington State Corporations | COLLABORATION STATION LLC | 504 Ne 95th St, Seattle, WA 98115-2128 |
| Alabama Business Registrations | Collaboration Station Opelika LLC | 216 S 8th St, Opelika, AL 36801 |
| Street Address |
4614 PROSPECT AVE STE 325 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-4377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730617754 | Maureen Paige-bobo | Counselor | 4614 Prospect Ave Ste 325, Cleveland, OH 44103-4377 | 2017-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430455 | The Ld Edge Network | Voluntary or Charitable | 3389 Fulton Rd, Cleveland, OH 44109-1463 | 2018-09-14 |
| 1306353560 | Womens Wellness Foundation | Voluntary or Charitable | 5159 Fowler Ave, Cleveland, OH 44127-1565 | 2018-01-09 |
| 1821513698 | Superior Treasures | Voluntary or Charitable | 4949 Galaxy Pkwy Ste U, Cleveland, OH 44128-5959 | 2017-08-13 |
| 1083032650 | Goddesses Blessing Goddesses | Voluntary or Charitable | 3300 E 55th St, Cleveland, OH 44127-1529 | 2014-04-01 |
| 1194095893 | Cleveland Juvenile Justice and Delinquency Preventin Center | Voluntary or Charitable | 3385 East 147th Street, Cleveland, OH 44120 | 2012-01-11 |
| 1043529670 | The Asian Services In Action | Voluntary or Charitable | 3820 Superior Ave E Ste 214, Cleveland, OH 44114-4128 | 2010-09-30 |
| 1659430619 | Consumer Protection Association | Voluntary or Charitable | 3030 Euclid Ave, Suite 105, Cleveland, OH 44115-2530 | 2006-12-06 |
| 1871520767 | Planned Lifetime Assistance Network of Northeast Ohio, Inc. | Voluntary or Charitable | 2490 Lee Blvd., #204, Cleveland, OH 44118-1269 | 2006-06-27 |
| 1194778092 | Golden Ciphers | Voluntary or Charitable | 2320 E 24th St, Cleveland, OH 44115-3112 | 2006-05-19 |
| 1063461929 | Lutheran Metropolitan Ministry | Voluntary or Charitable | 1468 W 25th St, Cleveland, OH 44113-3102 | 2006-05-09 |
| 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.