Provider Demographics
NPI:1669110763
Name:ABETTERWAY LLC
Entity type:Organization
Organization Name:ABETTERWAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:PINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-333-9122
Mailing Address - Street 1:4240 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-3553
Mailing Address - Country:US
Mailing Address - Phone:216-333-6233
Mailing Address - Fax:
Practice Address - Street 1:5360 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-7804
Practice Address - Country:US
Practice Address - Phone:216-333-6233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1679958102Medicaid
OH1013237338Medicaid
OH1174055867Medicaid