Organization Active NPI

Mohaba Leaders

  • Respite Care Camp
  • Willowick, OH
National Provider Identifier
1649132903
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
Legal business name
MOHABA LEADERS
Practice address
29260 Lake Shore Blvd
Willowick, OH 44095-4661
Phone
(216) 767-6066
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Karon Jones
Title
Director
Phone
(216) 767-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X Primary

Addresses

Primary practice location

29260 Lake Shore Blvd
Willowick, OH 44095-4661

Mailing address

7675 Pinecrest LN
Solon, OH 44139-5362
Phone (216) 767-6066

National Provider Directory

National Provider Directory

Locations

29260 Lake Shore Blvd
Willowick, OH 44095
Phone (216) 767-6066

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1649132903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 PINECREST LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395362",
            "telephone_number": "216-767-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29260 LAKE SHORE BLVD",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954661",
            "telephone_number": "216-767-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHABA LEADERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-767-6066"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.