Provider Demographics
NPI:1770512816
Name:AUDIPHONE COMPANY OF CLEVELAND INC
Entity Type:Organization
Organization Name:AUDIPHONE COMPANY OF CLEVELAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-333-5220
Mailing Address - Street 1:19637 CENTER RIDGE
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3634
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:440-333-0809
Practice Address - Street 1:19637 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3634
Practice Address - Country:US
Practice Address - Phone:440-333-5220
Practice Address - Fax:440-333-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01499332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000387350OtherANTHEM
OH0439289Medicaid
OH000000387350OtherANTHEM
OH=========011OtherMEDICAL MUTUAL