Provider Demographics
NPI:1881217537
Name:CLEAR SKIES AHEAD, LLC
Entity Type:Organization
Organization Name:CLEAR SKIES AHEAD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-349-2690
Mailing Address - Street 1:337 VIENNA AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-2664
Mailing Address - Country:US
Mailing Address - Phone:440-632-3157
Mailing Address - Fax:440-497-0035
Practice Address - Street 1:337 VIENNA AVE STE 4
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-2664
Practice Address - Country:US
Practice Address - Phone:440-632-3157
Practice Address - Fax:440-497-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0099906Medicaid