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BRI RAE SOBER LIVING AND ADDICTION SERVICE NPI 1043903628


NPI Information

NPI: 1043903628
Provider Name: BRI RAE SOBER LIVING AND ADDICTION SERVICE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1256 MELBOURNE RD
EAST CLEVELAND, OH
ZIP 44112
Phone: (216) 868-5182
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BRI RAE SOBER LIVING AND ADDICTION SERVICE is a community behavioral health in East Cleveland, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BRI RAE SOBER LIVING AND ADDICTION SERVICE NPI is 1043903628. The provider is registered as an organization entity type.

The provider's business location address is:

1256 MELBOURNE RD
EAST CLEVELAND, OH
ZIP 44112-137
Phone: (216) 868-5182

The provider's authorized official is Nakita Brock-darling .
The authorized official title is President and has the following contact phone number (216) 270-9101.

The enumeration date for this NPI number is 5/31/2023 and was last updated on 5/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3343900000XNon-emergency Medical Transport (VAN)No
4174200000XMealsNo
5177F00000XLodgingNo
6251B00000XCase ManagementNo
7251C00000XDay Training, Developmentally Disabled ServicesNo
8251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.