Organization Active NPI

Opulent Life

  • In Home Supportive Care Agency
  • Cleveland, OH
National Provider Identifier
1629826284
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPULENT LIFE
Practice address
17325 Euclid Ave
Cleveland, OH 44112-1247
Phone
(216) 773-8541
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Miss Jazmine Nicole Williamson, BS, R. EEG T.
Title
Doo
Phone
(216) 773-8541

Specialties & licenses 1

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

Addresses

Primary practice location

17325 Euclid Ave
Cleveland, OH 44112-1247

Mailing address

17325 Euclid Ave
Cleveland, OH 44112-1247
Phone (216) 773-8541

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1629826284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-773-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-773-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "216-773-8541",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BS, R. EEG T."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 May 9, 2024; 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.