Individual provider Active NPI

Eric Wayne Lakes

  • Home Health Aide
  • Cleveland Heights, OH
National Provider Identifier
1669317863
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
RT596694 Issued in OH
Practice address
1669 Coventry Rd
Cleveland Heights, OH 44118-1137
Phone
(216) 394-2482
NPI assigned
Apr 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X RT596694 OH Primary

Addresses

Primary practice location

1669 Coventry Rd
Cleveland Heights, OH 44118-1137

Mailing address

1669 Coventry Rd
Cleveland Heights, OH 44118-1137
Phone (216) 394-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT596694OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1669317863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 COVENTRY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181137",
            "telephone_number": "216-394-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 COVENTRY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181137",
            "telephone_number": "216-394-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKES",
        "first_name": "ERIC",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "RT596694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.