Lake Ohio Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

229294 Issued in OH

Legal business name

LAKE OHIO HOME HEALTH

Practice address

2490 Lee Blvd Ste 217
Cleveland HTS, OH 44118-1269

Phone

(216) 235-6479

NPI assigned

Mar 5, 2010

Last updated

Mar 5, 2010By 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

Mrs. Angela Gloria Kane, RN

Title

Administrator

Phone

(216) 235-6479

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1700109691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 217",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "216-235-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 217",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181269",
            "telephone_number": "216-235-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OHIO HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-235-6479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "229294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184819021",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Klassman, DDS
• Felisa Knowles
• David Arthur Krauss, PH.D.
• Maureen Elizabeth Kreick, PHD
• Lake Ohio Home Care
• Cleopatra Sandra Lake, RN
• Lamikia Patrice Larue, RN
• Dominique Lawrence
• Tameka Lee
• Christopher Leskiw

• Home Health Agency in Cleveland HTS, OH
• Providers in Cleveland HTS, 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 Mar 5, 2010; 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.