Organization Active NPI

Elite Home Care Day Care and Training

  • Developmentally Disabled Services Day Training Agency
  • Maple Heights, OH
National Provider Identifier
1255149860
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ELITE HOME CARE DAY CARE AND TRAINING
Practice address
16004 Broadway Ave
Maple Heights, OH 44137-2575
Phone
(216) 269-1487
NPI assigned
Dec 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Amy PotilloNPI 1043047608
Title
Doo
Phone
(216) 269-1487

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

16004 Broadway Ave
Maple Heights, OH 44137-2575

Mailing address

13314 Cranwood Dr
Garfield Heights, OH 44105-6812

National Provider Directory

National Provider Directory

Locations

16004 Broadway Ave
Maple Heights, OH 44137
Phone (216) 269-1487

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": "1735344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1255149860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13314 CRANWOOD DR",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441056812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16004 BROADWAY AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372575",
            "telephone_number": "216-269-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME CARE DAY CARE AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-28",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "POTILLO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "216-269-1487"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

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