Healthspan Integrated Care

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HEALTHSPAN INTEGRATED CARE

Practice address

10 Severance Cir
Cleveland HTS, OH 44118-1533

Phone

(216) 265-8810

Fax

(216) 265-8890

NPI assigned

Sep 6, 2013

Last updated

Feb 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Nowiski

Title

Cfo

Phone

(513) 639-2722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1578998738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "513-639-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SEVERANCE CIR",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181533",
            "telephone_number": "216-265-8810",
            "fax_number": "216-265-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "NOWISKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-639-2722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dishell Grays
• Carolyn Green
• Yael Y Greenberg, PSY.D.
• Hallie B. Durchslag, LTD
• Hayer Home Health Care
• Healthspan Integrated Care
• Sondra Hemphill
• Alana Hicks
• Donetta Hobbs
• Debra Ann Hodge

• Clinical Medical Laboratory in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.