Shaker Heights Youth Center in Shaker Heights - Voluntary Or Charitable

Shaker Heights Youth Center - NPI 1851355960

Shaker Heights Youth Center is a Voluntary Or Charitable in Shaker Heights, Ohio. Shaker Heights Youth Center practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Shaker Heights Youth Center is 1851355960. The last update date is 2020-08-22.

Shaker Heights Youth Center's current location address is 17300 Van Aken Blvd, Shaker Heights, Ohio. You can contact this provider via phone number 2167529292 and fax number 2167527217. The mailing address for Shaker Heights Youth Center is 17300 Van Aken Blvd, Shaker Heights, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shaker Heights Youth Center
Address 17300 Van Aken Blvd, Shaker Heights, Ohio
Phone Number 2167529292
Fax Number 2167527217
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Lisy James John
Credentials LISW,LPCC,
Telephone Number 2167529292

NPI Number Detail

NPI Number 1851355960
Provider Enumeration Date 2006-04-14
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 17300 Van Aken Blvd
City Shaker Heights
State Ohio (OH)
Post Code 441203460
Phone Number 2167529292
Fax Number 2167527217

Provider's Primary Taxonomy Detail

Speciality Voluntary Or Charitable
Taxonomy 251V00000X
Definition:
Nonprofit health or human services agency supported by charitable donations and volunteers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1081 OH ODADAS UPI

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FAQs about Shaker Heights Youth Center

What is the unique identifier code issued to Shaker Heights Youth Center by the Centers for Medicare & Medicaid Services?

The Shaker Heights Youth Center has been assigned the NPI (National Provider Identifier) 1851355960. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Shaker Heights Youth Center's facilities are situated?

The facilities of Shaker Heights Youth Center are physically located at the following address: 17300 Van Aken Blvd, Shaker Heights, OH, 441203460.

What is Shaker Heights Youth Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shaker Heights Youth Center is Voluntary Or Charitable, and the taxonomy code that classifies this field of practice is 251V00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851355960 to Shaker Heights Youth Center?

The Centers for Medicare & Medicaid Services originally issued the 1851355960 to Shaker Heights Youth Center on 2006-04-14.

When was the information related to Shaker Heights Youth Center most recently updated or refreshed?

The details pertaining to the Shaker Heights Youth Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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