FORMFIRE, LLC
NPI 1043630015
Supports Brokerage in Cleveland, OH

Active since April 17, 2014
1360 E 9TH ST, SUITE 850, CLEVELAND, OH 44114(216) 357-7400 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Formfire, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMFIRE, LLC (NPI 1043630015) is a healthcare organization registered as a supports brokerage in Cleveland, Ohio and active in the NPI registry since April 2014. The organization lists Michael Epp, Co-founder / Ceo, as its authorized official.

NPPES Registry Identity

NPI1043630015
Entity TypeOrganization
Primary Taxonomy251X00000X
Legal Business NameFORMFIRE, LLC
Location Address1360 E 9TH ST, SUITE 850Cleveland, OH 44114-1737
Mailing Address1360 E 9th St, Suite 850Cleveland, OH 44114-1737 · (216) 357-7400
Organization SubpartNo
Authorized OfficialMichael EppCo-founder / Ceo · (216) 502-2320
Enumeration DateApril 17, 2014
NPI 1043630015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySupports BrokerageAgencies
Taxonomy Code251X00000X
Definition

A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

1360 E 9TH ST, Cleveland, OH 44114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043630015, enumerated as an "organization" on April 17, 2014.

The provider is located at 1360 E 9TH ST SUITE 850 CLEVELAND, OH 44114 and the phone number is (216) 357-7400.

Supports Brokerage with taxonomy code 251X00000X.