CRYSTAL CLEVELAND (NPI# 1609476936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609476936 |
| Entity Type | Individual |
| Full Name | CRYSTAL CLEVELAND |
| Practice Address |
898 Township Road 210 Marengo OH 43334-9623 |
| Practice Telephone | 4192534472 |
| Mailing Fax Number | 4192534472 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710287883 | Crystal Danielle Cleveland | Pharmacist | 490 L St Nw, Washington, DC 20001-2545 | 2010-10-23 |
| Street Address |
898 TOWNSHIP ROAD 210 |
| City | MARENGO |
| State | OH |
| Zip Code | 43334-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891827 | Wayne Manor | In Home Supportive Care | 898 Township Road 210, Marengo, OH 43334-9623 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073047049 | Jordan Mayberry | Dentist | 73 Sportsman Dr Ste A, Marengo, OH 43334 | 2017-04-17 |
| 1306260609 | Morrow County Hospital | Clinic/Center | 692 State Route 61, Marengo, OH 43334 | 2014-02-07 |
| 1528498011 | Brittney Lynn Fields | Licensed Practical Nurse | 8526 Lott Road, Marengo, OH 43334 | 2013-11-19 |
| 1578731014 | Marianne Mcgahey | Occupational Therapy Assistant | 825 Oh-61, Marengo, OH 43334 | 2008-02-19 |
| 1790996700 | Robyn Denise Stiffler | Registered Nurse | 5585 Twp Rd 21, Marengo, OH 43334 | 2007-05-24 |
| 1518095892 | Cindy L Obryant | Pharmacist | 27 South Main St, Marengo, OH 43334 | 2007-03-01 |
| 1457489775 | Larry Jay Hildebrand | Pharmacist | 27 Main St 47, Marengo, OH 43334 | 2007-02-28 |
| 1043358849 | Trudy Lynn Cummins | Licensed Practical Nurse | 3621 Twp Rd 161, Marengo, OH 43334 | 2007-02-02 |
| 1689743320 | Yourx Store Inc | Pharmacy | 27 S Main Street, Marengo, OH 43334 | 2006-11-07 |
| 1033231386 | Mark Zachary Zader | Chiropractor | 4560 State Route 229, Suite B, Marengo, OH 43334 | 2007-04-06 |
| Find all providers in zip 43334 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796954 | Christy Jo Orr | In Home Supportive Care | 4693 Township Road 179, Marengo, OH 43334-9777 | 2020-09-30 |
| 1841891827 | Wayne Manor | In Home Supportive Care | 898 Township Road 210, Marengo, OH 43334-9623 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.