EBONY MONIQUE EADDIE (NPI# 1598393092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598393092 |
| Entity Type | Individual |
| Full Name | EBONY MONIQUE EADDIE |
| Practice Address |
3523 Woodridge Rd Cleveland Heights OH 44121-1533 |
| Practice Telephone | 2162037387 |
| Mailing Telephone | 2162037387 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
06-7636 | OH | Nursing & Custodial Care Facilities |
| Street Address |
3523 WOODRIDGE RD |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44121-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578191730 | Benevolence Home Care LLC | Custodial Care Facility | 3523 Woodridge Rd, Cleveland Heights, OH 44121-1533 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
| 1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
| 1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
| 1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265853451 | Catherine A Ruffin | Custodial Care Facility | 990 Rushleigh Rd, Cleveland Heights, OH 44121-1413 | 2013-12-15 |
| 1205434636 | Elhs Home Group LLC | Custodial Care Facility | 3610 Antisdale Ave, Cleveland Heights, OH 44118-2206 | 2020-10-16 |
| 1578191730 | Benevolence Home Care LLC | Custodial Care Facility | 3523 Woodridge Rd, Cleveland Heights, OH 44121-1533 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1902404098 | Carol Noss | Custodial Care Facility | 6481 Dale Dr, Brookpark, OH 44142-3454 | 2020-10-12 |
| 1679189138 | Four Seasons Ranch, LLC. | Custodial Care Facility | 5625 Elm Hill Dr, Solon, OH 44139-1943 | 2020-09-21 |
| 1336754696 | David L Thompson | Custodial Care Facility | 59 West St, Jackson, OH 45640-1566 | 2020-09-14 |
| 1710536354 | Dare To Be Different, LLC | Custodial Care Facility | 6303 Luther Ave, Cleveland, OH 44103-2575 | 2019-09-06 |
| 1396309258 | Patricia Sims | Custodial Care Facility | 6648 Afton Ave, Cincinnati, OH 45213-1130 | 2019-04-26 |
| 1285190264 | Felicia Hawkins | Custodial Care Facility | 2942 Banning Rd Apt 220, Cincinnati, OH 45239-5584 | 2019-02-14 |
| 1225507304 | Shirleen Barbara Ross | Custodial Care Facility | 3315 Mayo St Apt 111, Toledo, OH 43611-3260 | 2018-11-18 |
| 1770050023 | Cierra Thompson | Custodial Care Facility | 5599 Westerville Rd, Westerville, OH 43081-9365 | 2018-10-25 |
| 1811484181 | Losko | Custodial Care Facility | 1639 E 77th St, Cleveland, OH 44103-4182 | 2018-04-22 |
| Find all providers with the same taxonomy | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.