Healthcare Provider Details

I. General information

NPI: 1477279123
Provider Name (Legal Business Name): WE CARE CLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 CHEVROLET BLVD APT 2
PARMA OH
44130-8714
US

IV. Provider business mailing address

5665 CHEVROLET BLVD APT 2
PARMA OH
44130-8714
US

V. Phone/Fax

Practice location:
  • Phone: 216-224-1573
  • Fax:
Mailing address:
  • Phone: 216-224-1573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASMINE ALEXANDER
Title or Position: CEO
Credential:
Phone: 216-224-1573