Active NPI
Independant Home Health Care Non-Aide
- Physical Disabilities Residential Treatment Facility
- Cuyahoga Falls, OH
National Provider Identifier
1417904103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 2225612
- Legal business name
- INDEPENDANT HOME HEALTH CARE NON-AIDE
- Practice address
- 3406 Prange Dr
Cuyahoga Falls, OH 44223-3224 - Phone
- (330) 945-6304
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yvonne Marie Cleavenger
- Title
- Home Health Care Provider
- Phone
- (330) 922-3330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 2225612 | OH | Primary |
Addresses
Primary practice location
3406 Prange Dr
Cuyahoga Falls, OH 44223-3224
Mailing address
645 W Bath Rd
Cuyahoga Falls, OH 44223-3002
Phone (330) 922-3330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109005954201 | Medicaid | OH | |
| 103293964599 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Akron, OH
- NPI 1811108046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417904103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 W BATH RD",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442233002",
"telephone_number": "330-922-3330",
"fax_number": "330-922-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 PRANGE DR",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442233224",
"telephone_number": "330-945-6304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDANT HOME HEALTH CARE NON-AIDE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLEAVENGER",
"authorized_official_first_name": "YVONNE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "HOME HEALTH CARE PROVIDER",
"authorized_official_telephone_number": "330-922-3330",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "OH",
"license": "2225612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109005954201",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103293964599",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
- Ahmad Kharis Ibrahim, MD
- Joseph T Iemma, MD
- George Ekene Ilodi, DO
- Incare Health and Wellness, Northern Ohio (Natl Church Res Home & Community Srvcs Northern Ohio Health & Wellness)
- Inclusive Hands Care LLC
- Infinity Care LLC
- Infinity Care LLC
- Inspirational Living Homes LLC
- Inspirit Cuyahoga Operator LLC (Gardens at Cuyahoga Falls)
- Internal Medicine Specialist 2LLC
Sources for this page
- 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.