Fundamentals Adult Day Services, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FUNDAMENTALS ADULT DAY SERVICES, INC.

Practice address

12500 Buckeye Rd
Cleveland, OH 44120-2652

Phone

(216) 407-6148

NPI assigned

Jun 23, 2026

Organization subpart

No

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

Authorized official

Name

Jiyavaughna White

Title

Ceo

Phone

(216) 882-9932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1316873763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 CAMELOT CT",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440921466",
            "telephone_number": "216-407-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 BUCKEYE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202652",
            "telephone_number": "216-407-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTALS ADULT DAY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JIYAVAUGHNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-882-9932"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Fulton, MD
• Christine E. Fultz, CRNA
• Sarah Elizabeth Fultz, MPT
• Fun-to-the-Mental
• Russell Funches, PT
• Fundamentals First Basketball Academy , LLC
• Christina Fundzak, CNP
• Monica T Fundzak, CNP
• Misty Funk, MSSA, LISW
• Perry N. Funk, DO

• Adult Day Care Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.