Healthcare Provider Details

I. General information

NPI: 1780500553
Provider Name (Legal Business Name): CLOSSIN CHARITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16805 S FRANKLIN ST
CHAGRIN FALLS OH
44023-2317
US

IV. Provider business mailing address

16805 S FRANKLIN ST
CHAGRIN FALLS OH
44023-2317
US

V. Phone/Fax

Practice location:
  • Phone: 330-410-7546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: ALEX CLOSSIN
Title or Position: PRESIDENT
Credential:
Phone: 330-410-7546