Proud To Be, Inc

LBN: Proud To Be, Inc
Proud To Be, Inc is an health care organization with primary practice located at 11811 Shaker Blvd Ste 123 , Cleveland OH 44120-1927. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Proud To Be, Inc can be contacted via phone (216) 374-7682, or through Martin Thornton, Tiffany via phone (216) 374-7682.

Contact Information

Primary practice address
11811 Shaker Blvd Ste 123 Cleveland OH 44120-1927
Phone: (216) 374-7682
Fax: (216) 455-5436
Website:
Map and Directions
Authorized official contact:
Name: Martin Thornton, Tiffany Nurse Practitioner (NP)
Phone: (216) 374-7682

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1376050542
LBN Legal business name Proud To Be, Inc
DBA Doing business as
Authorized official Martin Thornton, Tiffany Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2018
Last updated Mar 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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