CLEVELAND EASTSIDE EX-OFFENDER COALITION
NPI 1215483813
Community/Behavioral Health in Cleveland, OH

NPI Status: Active since September 01, 2016

Contact Information

12200 FAIRHILL RD STE B400
CLEVELAND, OH
ZIP 44120
Phone: (216) 721-4267
Fax: (216) 721-4270

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 36D2327542
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 07-23-2027

About CLEVELAND EASTSIDE EX-OFFENDER COALITION

This page provides the complete NPI Profile along with additional information for Cleveland Eastside Ex-offender Coalition, a provider established in Cleveland, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1215483813 assigned on September 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Caroljean Gates Reverend (Executive Director)

NPI
1215483813
Provider Name
CLEVELAND EASTSIDE EX-OFFENDER COALITION
Entity Type
Organization
Location Address
12200 FAIRHILL RD STE B400 CLEVELAND, OH 44120
Location Phone
(216) 721-4267
Location Fax
(216) 721-4270
Mailing Address
12200 FAIRHILL ROAD, SUITE B400 CLEVELAND, OH 44120
Mailing Phone
(216) 721-4267
Mailing Fax
(216) 721-4270
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2016
Last Update Date
09-01-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROLJEAN GATES REVEREND

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(216) 721-4267

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2327542
Facility Type
Hospital
Certificate Effective Date
July 24, 2025
Certificate Expiration Date
July 23, 2027
Laboratory Director
MEGAN TEEPLES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cleveland Eastside Ex-offender Coalition to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215483813, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 8 + 8 + 6 + 8 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215483813.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215483813, enumerated as an "organization" on September 01, 2016.

The provider is located at 12200 FAIRHILL RD STE B400 CLEVELAND, OH 44120 and the phone number is (216) 721-4267.

Community/Behavioral Health with taxonomy code 251S00000X.