Organization Active NPI

Ebony Degraffenried

  • Adult Care Home Facility
  • Maple Heights, OH
National Provider Identifier
1023433661
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
PN.124715 Issued in OH
Legal business name
EBONY DEGRAFFENRIED
Practice address
5683 Dunham Rd
Maple Heights, OH 44137-3647
Phone
(216) 534-9029
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ebony DegraffenriedNPI 1487192548
Title
LPN
Phone
(216) 534-9029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X PN.124715 OH Primary

Addresses

Primary practice location

5683 Dunham Rd
Maple Heights, OH 44137-3647

Mailing address

5683 Dunham Rd
Maple Heights, OH 44137-3647
Phone (216) 534-9029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1023433661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 DUNHAM RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373647",
            "telephone_number": "216-534-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 DUNHAM RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373647",
            "telephone_number": "216-534-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY DEGRAFFENRIED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "DEGRAFFENRIED",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "216-534-9029"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "PN.124715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.