Individual provider Active NPI

Tracy Lavonne Hankins

  • In Home Supportive Care Agency
  • Cleveland, OH
National Provider Identifier
1235963729
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
11122 Continental Ave
Cleveland, OH 44104-5006
Phone
(216) 322-3204
Fax
(216) 400-6939
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
In Home Supportive Care Agency 253Z00000X Primary
Case Management Agency 251B00000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Homemaker 376J00000X

Addresses

Primary practice location

11122 Continental Ave
Cleveland, OH 44104-5006

Mailing address

11122 Continental Ave
Cleveland, OH 44104-5006
Phone (216) 322-3204

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

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1235963729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 CONTINENTAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441045006",
            "telephone_number": "216-322-3204",
            "fax_number": "216-400-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 CONTINENTAL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441045006",
            "telephone_number": "216-322-3204",
            "fax_number": "216-400-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "TRACY",
        "middle_name": "LAVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 28, 2024; 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.