Cleveland Venture Group

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

033-R-0099 Issued in GA

Legal business name

CLEVELAND VENTURE GROUP

Doing business as

Visiting Angels, Living Assistance Service

Practice address

3020 Roswell Rd
Ste. 200
Marietta, GA 30062-4996

Phone

(678) 819-3915

Fax

(770) 565-0490

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Robin Cleveland

Title

Director

Phone

(678) 819-3915

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels, Living Assistance Service Doing business as

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1063731438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD",
            "address_2": "STE. 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624996",
            "telephone_number": "678-819-3915",
            "fax_number": "770-565-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD",
            "address_2": "STE. 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624996",
            "telephone_number": "678-819-3915",
            "fax_number": "770-565-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND VENTURE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-819-3915",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels, Living Assistance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clyde Lee Clem IV, PT
• Emily Paris Clements, FNP-C
• Larry Clements, MD
• Tiara Shyrese Clemmons, BCABA
• Crystal Rae Clendennen Peirce, DO
• Stacy Arnett Cleveland, M.S., BCBA
• Treven Cliatt
• Susie Tharpe Click, LPC
• Heather Elaine Cliff, D.C.
• Clifford Family Practice

• In Home Supportive Care Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.