Provider Demographics
NPI:1962088294
Name:COMMUNITY BOUND AGENCY NEW DAY LEADERS LLC.
Entity type:Organization
Organization Name:COMMUNITY BOUND AGENCY NEW DAY LEADERS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-288-5572
Mailing Address - Street 1:33140 AURORA RD STE 10
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3650
Mailing Address - Country:US
Mailing Address - Phone:440-600-2636
Mailing Address - Fax:
Practice Address - Street 1:33140 AURORA RD STE 10
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3650
Practice Address - Country:US
Practice Address - Phone:440-600-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No347E00000XTransportation ServicesTransportation BrokerGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty