Provider Demographics
NPI:1932849767
Name:AFRICAHOUSE INTERNATIONAL
Entity type:Organization
Organization Name:AFRICAHOUSE INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKUSIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKOMOMACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-421-0298
Mailing Address - Street 1:1695 EAST 81ST STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103
Mailing Address - Country:US
Mailing Address - Phone:216-376-7206
Mailing Address - Fax:216-421-0298
Practice Address - Street 1:1695 EAST 81ST STREET #1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103
Practice Address - Country:US
Practice Address - Phone:216-376-7206
Practice Address - Fax:216-421-0298
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFRICAHOUSE INTERNATIONAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-30
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Multi-Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty