Sustaining Angels Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUSTAINING ANGELS HOME CARE, LLC

Practice address

7547 Mentor Ave Ste 202
Mentor, OH 44060-5432

Phone

(800) 383-3125

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By 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

Nicole Jofferion

Title

Secretary

Phone

(800) 383-3125

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1629733308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 LANDERBROOK DR UNIT 24768",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441247939",
            "telephone_number": "800-383-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 MENTOR AVE STE 202",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605432",
            "telephone_number": "800-383-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINING ANGELS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "JOFFERION",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "800-383-3125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "send data",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7547 Mentor Ave Ste 202",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440605432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ezra Sullivan Zidonis
• Summerville at Mentor LLC (Summerville at Mentor)
• Gina M Sumpter, NP
• Nicole Super
• Nicol Marie Susel
• Michelle Lorraine Sutter, LPN
• SVS Vision Inc (SVS Vision Optical Centers)
• Latoyia Swain
• Sarah Sweeney, M.ED
• Elizabeth Joy Swope, C.N.P.

• Home Health Agency in Mentor, OH
• Providers in Mentor, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.