Individual provider Active NPI

Roshawn K Sample

  • Respite Care
  • Cleveland, OH
National Provider Identifier
1396558599
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Practice address
4127 E 131St St Ste 200
Cleveland, OH 44105-5563
Phone
(216) 410-5342
NPI assigned
Jan 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

4127 E 131St St Ste 200
Cleveland, OH 44105-5563

Mailing address

25030 Tryon Rd
Oakwood Village, OH 44146-6049
Phone (216) 410-5342

Other practice location 1

9349 Gaylord Ave
Cleveland, OH 44105-5208
Phone (216) 230-2183

Other practice location 2

4126 E 114th St
Cleveland, OH 44105-5401
Phone (216) 410-5342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1396558599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25030 TRYON RD",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466049",
            "telephone_number": "216-410-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 E 131ST ST STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441055563",
            "telephone_number": "216-410-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9349 Gaylord Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441055208",
            "country_code": "US",
            "telephone_number": "216-230-2183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4126 E 114th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441055401",
            "country_code": "US",
            "telephone_number": "216-410-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "ROSHAWN",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "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 Jan 30, 2025; 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.