Active NPI
Tracy Lavonne Hankins
- In Home Supportive Care Agency
- Cleveland, OH
National Provider Identifier
1235963729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.