Provider Demographics
NPI:1891824769
Name:DOBB INC
Entity Type:Organization
Organization Name:DOBB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOIBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-361-1152
Mailing Address - Street 1:1030 EAST 62ND STREET
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1093
Mailing Address - Country:US
Mailing Address - Phone:216-361-1152
Mailing Address - Fax:216-361-1154
Practice Address - Street 1:1030 EAST 62ND STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-1093
Practice Address - Country:US
Practice Address - Phone:216-361-1152
Practice Address - Fax:216-361-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1815414104100000X, 251E00000X, 261QA0600X
OH185095343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3098599Medicaid
OH2164787Medicaid