Provider Demographics
NPI:1194854893
Name:CARE ALLIANCE
Entity Type:Organization
Organization Name:CARE ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AFRAM-GYENING
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE
Authorized Official - Phone:216-781-6228
Mailing Address - Street 1:1530 SAINT CLAIR AVENUE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1530 SAINT CLAIR AVENUE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2004
Practice Address - Country:US
Practice Address - Phone:216-781-6228
Practice Address - Fax:216-298-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0216064Medicaid
OH0216082Medicaid
OH361894Medicare ID - Type Unspecified
OH361898Medicare ID - Type Unspecified
OH361895Medicare ID - Type Unspecified
OH361900Medicare ID - Type Unspecified
OH361897Medicare ID - Type Unspecified
OH361863Medicare ID - Type Unspecified
OH361893Medicare ID - Type Unspecified
OH0216082Medicaid
OH0216064Medicaid