Provider Demographics
NPI:1295256139
Name:NGI CLINICS LLC
Entity type:Organization
Organization Name:NGI CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANACCI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ACNP-C
Authorized Official - Phone:216-404-7139
Mailing Address - Street 1:17819 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-6130
Mailing Address - Country:US
Mailing Address - Phone:216-404-7139
Mailing Address - Fax:310-861-0855
Practice Address - Street 1:17819 AUBURN RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-6130
Practice Address - Country:US
Practice Address - Phone:216-404-7139
Practice Address - Fax:310-861-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty