Organization Active NPI

Ohio Adult Day Care

  • In Home Supportive Care Agency
  • Kirtland, OH
National Provider Identifier
1407644040
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OHIO ADULT DAY CARE
Practice address
9209 Amber Wood Dr
Kirtland, OH 44094-9350
Phone
(330) 475-4777
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Erica Joi Booker
Title
Director
Phone
(330) 475-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9209 Amber Wood Dr
Kirtland, OH 44094-9350

Mailing address

26250 Euclid Ave Ste 901
Euclid, OH 44132-3696
Phone (330) 475-4777

Other names 1

  • Peace Love Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ohio Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1407644040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE STE 901",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323696",
            "telephone_number": "330-475-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 AMBER WOOD DR",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440949350",
            "telephone_number": "330-475-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "JOI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-475-4777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Love Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirtland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.