Cleveland Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1344564 Issued in OH

Legal business name

CLEVELAND HOME CARE, INC.

Practice address

7354 Maplelawn Dr
Ypsilanti, MI 48197-1883

Phone

(734) 368-0951

Fax

(734) 485-9818

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Jackson

Title

Owner

Phone

(734) 368-0951

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316982986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7354 MAPLELAWN DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971883",
            "telephone_number": "734-368-0951",
            "fax_number": "734-485-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7354 MAPLELAWN DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971883",
            "telephone_number": "734-368-0951",
            "fax_number": "734-485-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-368-0951",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1344564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2438713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Clay
• Robert K Cleary, MD
• Nichole Cleavenger, CRNA
• Charmisha Clegg
• Kenna Mackenzie Clements
• Eriona Cleveland
• Richard J Clews, ANP
• Amy Cline
• Zachary Clipper II
• Anita M Clos, LMSW

• Home Health Agency in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.