Haven of Hope Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HAVEN OF HOPE ADULT FAMILY HOME LLC

Practice address

428 E 123Rd St
Cleveland, OH 44108-1704

Phone

(216) 926-9243

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Randalene Nichole PorchNPI 1164111522

Title

Owner

Phone

(216) 926-9243

Specialties & licenses 1

Addresses

Practitioners 1

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

• Randalene Nichole Porch

  • Home Health Aide
  • Cleveland Heights, OH
  • NPI 1164111522
  NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1043909310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 TULLAMORE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183019",
            "telephone_number": "216-926-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 123RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081704",
            "telephone_number": "216-926-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HOPE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "PORCH",
        "authorized_official_first_name": "RANDALENE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-926-9243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Haut, PHD
• Dianne Lynn Havanchak, ACNP
• Katherine Havard-Coiro
• Haven Care Facilities
• Haven for Heros LLC
• Haven Transportation Service LLC
• Alexander Havens
• Georgia Havens, RN
• Chase Havice
• Kelly Havlin, PT, DPT, MBA

• Adult Care Home Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Care Home Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.