Provider Demographics
NPI:1447599915
Name:CINDY'S CHILDREN'S CHARITABLE & ELDERLY CARE FOUNDATION INC.
Entity Type:Organization
Organization Name:CINDY'S CHILDREN'S CHARITABLE & ELDERLY CARE FOUNDATION INC.
Other - Org Name:CHARITABLE ORGANIZATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WINFREE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:404-542-1876
Mailing Address - Street 1:521 SAWYER BLVD
Mailing Address - Street 2:APT 802
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203
Mailing Address - Country:US
Mailing Address - Phone:404-542-1876
Mailing Address - Fax:
Practice Address - Street 1:521 SAWYER BLVD
Practice Address - Street 2:APT 802
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1002
Practice Address - Country:US
Practice Address - Phone:404-542-1876
Practice Address - Fax:404-542-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0617795251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2968463Medicaid