NA (NPI# 1750712956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750712956 |
| Entity Type | Organization |
| Organization Name | NA |
| Practice Address |
7629 Maryland Ave Cleveland OH 44105-5927 |
| Practice Telephone | 2162138084 |
| Mailing Telephone | 2162138084 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | TASHIA FOWLKES (STNA) |
| Authorized Official Telephone | 2162138084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | 400360060504 | OH | Nursing & Custodial Care Facilities |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
400360060504 | OH | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760915508 | Na | Skilled Nursing Facility | 24931 Treadwell Ave, Euclid, OH 44117-1226 | 2017-04-08 |
| 1952763070 | Na | Clinic/Center | 215 E Railroad St Apt 1, Winnemucca, NV 89445-3087 | 2016-03-28 |
| 1235563701 | Na | Nursing Facility/Intermediate Care Facility | 3385 Greenwich Dr, Fairfield, OH 45014-5322 | 2013-09-02 |
| Street Address |
7629 MARYLAND AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| 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 |
|---|---|---|---|---|
| 1710536354 | Dare To Be Different, LLC | Custodial Care Facility | 6303 Luther Ave, Cleveland, OH 44103-2575 | 2019-09-06 |
| 1811484181 | Losko | Custodial Care Facility | 1639 E 77th St, Cleveland, OH 44103-4182 | 2018-04-22 |
| 1801288386 | Helping Hands & Loving Hearts,llc | Custodial Care Facility | 5369 Homer Ave, Cleveland, OH 44103-1328 | 2015-02-20 |
| 1376969162 | Sherman Lamar Coe | Custodial Care Facility | 1791 Crawford Rd, Cleveland, OH 44106-2065 | 2014-03-17 |
| 1457772659 | Janaya Mcmiller | Custodial Care Facility | 3427 E 126th St, Cleveland, OH 44120-4421 | 2013-12-16 |
| 1447671631 | Jasmine Beltcher | Custodial Care Facility | 3599 E 133rd St, Down, Cleveland, OH 44120-4530 | 2013-12-15 |
| 1104257302 | Sharese Williams | Custodial Care Facility | 11217 Melba Ave, Cleveland, OH 44104-5026 | 2013-12-13 |
| 1295166494 | Tomora L. Blue | Custodial Care Facility | 12601 Griffing Ave, Down, Cleveland, OH 44120-3043 | 2013-12-13 |
| 1912242777 | Caring From The Heart Home Care | Custodial Care Facility | 404 N Bonham Ave, Cleveland, TX 77327-4068 | 2012-12-05 |
| 1659625481 | Toya Homes | Custodial Care Facility | 16617 Lipton Ave, 16617 Lipton Ave, Cleveland, OH 44128-3615 | 2012-10-31 |
| Find all providers in CLEVELAND | ||||
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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.