NPIMap

Organization Active NPI

Gypsy'S Angels Home Health Care LLC

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1245804459
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GYPSY'S ANGELS HOME HEALTH CARE LLC
Practice address
1115 E 114TH St
Cleveland, OH 44108-3744
Phone
(216) 322-3909
Fax
(216) 274-9838
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Chiquitta RussellNPI 1780186445
Title
Owner
Phone
(216) 322-3909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X

Addresses

Primary practice location

1115 E 114TH St
Cleveland, OH 44108-3744

Mailing address

1115 E 114TH St
Cleveland, OH 44108-3744
Phone (216) 322-3909

Other identifiers 1

IdentifierTypeStateIssuer
0407914MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1245804459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 114TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083744",
            "telephone_number": "216-322-3909",
            "fax_number": "216-274-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 114TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083744",
            "telephone_number": "216-322-3909",
            "fax_number": "216-274-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYPSY'S ANGELS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHIQUITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-322-3909"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407914",
            "state": "OH"
        }
    ],
    "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 Jan 23, 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.