Healthcare Provider Details

I. General information

NPI: 1487029237
Provider Name (Legal Business Name): EYE FOR CHANGE CONSULTING INC- HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2015
Last Update Date: 12/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST SUITE 314
CLEVELAND OH
44127-1088
US

IV. Provider business mailing address

3100 E 45TH ST SUITE 314
CLEVELAND OH
44127-1088
US

V. Phone/Fax

Practice location:
  • Phone: 216-441-9622
  • Fax: 888-460-4717
Mailing address:
  • Phone: 216-441-9622
  • Fax: 888-460-4717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALFONZO D BAILEY
Title or Position: PRESIDENT/CEO
Credential: MPA
Phone: 216-441-9622