Provider Demographics
NPI:1811715329
Name:OUR HERO & MORE
Entity type:Organization
Organization Name:OUR HERO & MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CDCA/CPRS
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-256-0293
Mailing Address - Street 1:1196 ADDISON RD # 12
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1578
Mailing Address - Country:US
Mailing Address - Phone:216-256-0293
Mailing Address - Fax:
Practice Address - Street 1:1196 ADDISON RD # 12
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-1578
Practice Address - Country:US
Practice Address - Phone:216-256-0293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health