Healthcare Provider Details

I. General information

NPI: 1609243591
Provider Name (Legal Business Name): REFUGE MINISTRIES DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2015
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2337 BROADVIEW RD
CLEVELAND OH
44109-4177
US

IV. Provider business mailing address

13710 BARTLETT AVE
CLEVELAND OH
44120-4714
US

V. Phone/Fax

Practice location:
  • Phone: 440-474-0155
  • Fax:
Mailing address:
  • Phone: 216-772-9687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number101Y00000X
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVEN LOCKHART
Title or Position: DIRECTOR/CEO
Credential:
Phone: 440-447-0155