NPIMap

Organization Active NPI

Caring Space LLC.

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1558079152
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARING SPACE LLC.
Practice address
3100 E 45TH St Ste 528
Cleveland, OH 44127-1088
Phone
(216) 502-8595
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Jermaine Odell WatkinsNPI 1164044350
Title
Owner
Phone
(216) 502-8595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3100 E 45TH St Ste 528
Cleveland, OH 44127-1088

Mailing address

3100 E 45TH St Ste 528
Cleveland, OH 44127-1088
Phone (216) 502-8595

National Provider Directory

National Provider Directory

Locations

3100 E 45th St
Ste 528
Cleveland, OH 44127
Phone (216) 333-7470

Practitioners & affiliated clinicians

Practitioners 5

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1558079152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST STE 528",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271088",
            "telephone_number": "216-502-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST STE 528",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271088",
            "telephone_number": "216-502-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING SPACE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-502-8595"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Aug 16, 2023; 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.