Unknown Individual – Community Health Worker, NPI 1215102389

Unknown Individual is a healthcare provider. based in Cleveland, Ohio. specializing in Community Health Worker. They hold a License No. SP 262 (OH). The NPI Number for Unknown Individual is 1215102389

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215102389
Phone
Not provided
Address
17407 LORAIN AVE STE 206
Deactivation Date
5 June 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lorain Avenue, East 4th Street, Playhouse Square, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441114022

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44111)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1215102389.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Community Health Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Cleveland, Ohio?
If you are local to Cleveland, Ohio, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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