CLEVELAND CHRISTIAN HOME
NPI 1629121025
Community/Behavioral Health in Cleveland, OH

NPI Status: Active since January 19, 2007

Contact Information

11401 LORAIN AVE
CLEVELAND, OH
ZIP 44111
Phone: (216) 671-0799

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance
  • CLIA Number: 36D2274333
  • CLIA Cert. Type: Other - YOUTH RESIDENTIAL FACILIT
  • CLIA Exp. Date: 01-02-2027

About CLEVELAND CHRISTIAN HOME

This page provides the complete NPI Profile along with additional information for Cleveland Christian Home, a provider established in Cleveland, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1629121025 assigned on January 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Mike J Krafcik Cpa (Cfo)

NPI
1629121025
Provider Name
CLEVELAND CHRISTIAN HOME
Entity Type
Organization
Location Address
11401 LORAIN AVE CLEVELAND, OH 44111
Location Phone
(216) 671-0799
Mailing Address
11401 LORAIN AVE CLEVELAND, OH 44111
Mailing Phone
(216) 671-0799
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2007
Last Update Date
08-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License State
OH
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MIKE J KRAFCIK CPA

Authorized Official Title
CFO
Authorized Official Phone
(216) 688-4130

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10258OTHER (01)OHUPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2274333
Facility Type
Other - YOUTH RESIDENTIAL FACILIT
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
VINCENT CARINGI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cleveland Christian Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLEVELAND CHRISTIAN HOME

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629121025
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264922204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 2 + 0 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1629121025 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801180344 LESLIE WARTGOW LPCC
Individual
Counselor (Professional)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 651-0360
1013201565 ANDREA VENIER MFT
Individual
Marriage & Family Therapist11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 651-0360
1487922860CLEVELAND CHRISTIAN HOME
Organization
Community Based Residential Treatment Facility, Mental Illness11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 688-4129
1972897411 MARGARET DUHL LPCC-S
Individual
Counselor (Professional)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 651-0360
1710405154 GARY FRANCIS UNDERWOOD
Individual
Social Worker11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1063930303MISS DIANETTE GILBERT LSW
Individual
Social Worker11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1992217194 PATRICIA ANN LOWMAN
Individual
Social Worker11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1528572120 TANDALAYA HOWARD
Individual
Social Worker11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1740795285 KATHY JOY JACKSON MSSA, LSW
Individual
Social Worker (Clinical)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1164924163MR. SAMUEL VACHA
Individual
Counselor (Mental Health)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1811489495MR. CHARLES JOHN TUTTLE I LICDC-S
Individual
Counselor (Addiction (Substance Use Disorder))11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1548753734 KATHLEEN EUSTACE LPC
Individual
Counselor (Professional)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1063843993 STEPHANIE GRILLO LPC
Individual
Counselor (Mental Health)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1366937443 ROSA WHITE LSW
Individual
Social Worker11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1235657644PROF. SHELDON SCOTT LOVEJOY I MSSA, LSW
Individual
Social Worker (Clinical)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1629438171MRS. PATRICIA I MCEWEN LISW
Individual
Social Worker (Clinical)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1528800752 ADA JACKSON MSW
Individual
Case Manager/Care Coordinator11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 219-9803
1801632278 WILLIAM M. CLOUD
Individual
Case Manager/Care Coordinator11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 972-3438
1023609054 KELLY MACKEY LPC
Individual
Counselor11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 416-4277
1851888218 ANDREA DENISE TURNER M.A.ED, LPCC-S
Individual
Counselor (Professional)11401 LORAIN AVE
CLEVELAND, OH 44111
(216) 467-1963

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629121025, enumerated in the NPI registry as an "organization" on January 19, 2007

The provider is located at 11401 Lorain Ave Cleveland, Oh 44111 and the phone number is (216) 671-0799

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D2274333 for a "other - youth residential facilit" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.