Healthcare Provider Details
I. General information
NPI: 1003885849
Provider Name (Legal Business Name): EPILEPSY ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2006
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2831 PROSPECT AVE
CLEVELAND OH
44115-2606
US
IV. Provider business mailing address
2831 PROSPECT AVE E
CLEVELAND OH
44115-2606
US
V. Phone/Fax
- Phone: 216-579-1330
- Fax: 216-579-1336
- Phone: 216-579-1330
- Fax: 216-579-1336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICIA
ANN
VARANESE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 216-579-1330