Provider Demographics
NPI:1043381163
Name:ANSWERED PRAYERS
Entity Type:Organization
Organization Name:ANSWERED PRAYERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JUANITA
Authorized Official - Last Name:CROOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-212-1015
Mailing Address - Street 1:1869 CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3405
Mailing Address - Country:US
Mailing Address - Phone:216-212-1015
Mailing Address - Fax:216-246-8300
Practice Address - Street 1:1869 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3405
Practice Address - Country:US
Practice Address - Phone:216-212-1015
Practice Address - Fax:216-246-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH501086380306251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health