CHURCH SQUARE URGENT CARE LLC
NPI 1780528000
Clinic/Center - Urgent Care in Cleveland, OH
NPI Status: Active since April 16, 2026
Contact Information
1956 E 79TH ST
CLEVELAND, OH
ZIP 44103
Phone: (216) 288-0557
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 36D2174682
- CLIA Cert. Type: Other - URGENT CARE CLINIC
- CLIA Exp. Date: 11-05-2027
About CHURCH SQUARE URGENT CARE LLC
This page provides the complete NPI Profile along with additional information for Church Square Urgent Care Llc, a provider established in Cleveland, Ohio operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1780528000 assigned on April 2026. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Abdelrahman Abukhalil (Owner)
- NPI
- 1780528000
- Provider Name
- CHURCH SQUARE URGENT CARE LLC
- Entity Type
- Organization
- Location Address
- 1956 E 79TH ST CLEVELAND, OH 44103
- Location Phone
- (216) 288-0557
- Mailing Address
- 14529 PURITAS AVE CLEVELAND, OH 44135
- Mailing Phone
- (216) 288-0557
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2026
- Last Update Date
- 04-16-2026
- Code Navigator
Location Map
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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
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
- 36D2174682
- Facility Type
- Other - URGENT CARE CLINIC
- Certificate Effective Date
- November 06, 2025
- Certificate Expiration Date
- November 05, 2027
- Laboratory Director
- YAZID R. HUSSEIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Church Square Urgent Care Llc 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 1780528000, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780528000, enumerated as an "organization" on April 16, 2026.
The provider is located at 1956 E 79TH ST CLEVELAND, OH 44103 and the phone number is (216) 288-0557.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
