Provider Demographics
NPI:1417735804
Name:NEW AVENUES TO INDEPENDENCE INC.
Entity Type:Organization
Organization Name:NEW AVENUES TO INDEPENDENCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-401-8258
Mailing Address - Street 1:3615 SUPERIOR AVE E STE 4404A
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4139
Mailing Address - Country:US
Mailing Address - Phone:216-481-1909
Mailing Address - Fax:
Practice Address - Street 1:7242 CONELLY BLVD
Practice Address - Street 2:
Practice Address - City:WALTON HILLS
Practice Address - State:OH
Practice Address - Zip Code:44146-4326
Practice Address - Country:US
Practice Address - Phone:216-481-1909
Practice Address - Fax:216-481-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities