Organization Active NPI

Tomora L. Blue

  • Adult Care Home Facility
  • Cleveland, OH
National Provider Identifier
1295166494
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
401594961213 Issued in OH
Legal business name
TOMORA L. BLUE
Practice address
12601 Griffing Ave
Down
Cleveland, OH 44120-3043
Phone
(216) 200-2494
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Miss Tomora Letitia Blue
Title
Stna
Phone
(216) 200-2494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 401594961213 OH Primary

Addresses

Primary practice location

12601 Griffing Ave
Down
Cleveland, OH 44120-3043

Mailing address

12601 Griffing Ave
Down
Cleveland, OH 44120-3043
Phone (216) 200-2494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1295166494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 GRIFFING AVE",
            "address_2": "DOWN",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441203043",
            "telephone_number": "216-200-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 GRIFFING AVE",
            "address_2": "DOWN",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441203043",
            "telephone_number": "216-200-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMORA L. BLUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "TOMORA",
        "authorized_official_middle_name": "LETITIA",
        "authorized_official_title_or_position": "STNA",
        "authorized_official_telephone_number": "216-200-2494",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "401594961213",
            "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 Dec 13, 2013; 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.