Provider Demographics
NPI:1487029237
Name:EYE FOR CHANGE CONSULTING INC- HOME CARE SERVICES
Entity Type:Organization
Organization Name:EYE FOR CHANGE CONSULTING INC- HOME CARE SERVICES
Other - Org Name:EYE FOR CHANGE HOME CARE SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALFONZO
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:216-441-9622
Mailing Address - Street 1:3100 E 45TH ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1088
Mailing Address - Country:US
Mailing Address - Phone:216-441-9622
Mailing Address - Fax:888-460-4717
Practice Address - Street 1:3100 E 45TH ST
Practice Address - Street 2:SUITE 314
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1088
Practice Address - Country:US
Practice Address - Phone:216-441-9622
Practice Address - Fax:888-460-4717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care