Individual provider Active NPI

Arvell Nelson

  • Case Manager/Care Coordinator
  • Cleveland, OH
National Provider Identifier
1093460313
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7535 Granger Rd
Cleveland, OH 44125-4818
Phone
(216) 800-1877
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7535 Granger Rd
Cleveland, OH 44125-4818

Mailing address

8152 Puritan Dr Apt a
Mentor, OH 44060-9344
Phone (216) 800-1877

Other practice location 1

1507 Saint Clair Ave NE
Cleveland, OH 44114-2003
Phone (216) 451-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First and Twenty Five LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

1507 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 417-0047

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1093460313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 PURITAN DR APT A",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440609344",
            "telephone_number": "216-800-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 GRANGER RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441254818",
            "telephone_number": "216-800-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Saint Clair Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142003",
            "country_code": "US",
            "telephone_number": "216-451-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ARVELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.